A modified-simple technique of removing the lens cortex during cataract surgery
We describe here a surgical technique of removing the remaining cortex after phacoemulsification without performing the conventional irrigation/aspiration (I/A) procedure. In this technique, the remaining cortex attached to the posterior capsule was separated and dissected into several pieces by continuous irrigation with balanced salt solution, which was supplied through a syringe attached to a bent, blunt-tip needle. Approximately, 10 s of manual irrigation separated most of the remaining cortex from the posterior capsule. Then, the capsular bag was inflated with an ophthalmic viscoelastic device (OVD), and this pushed the separated cortex toward the capsular fornix mechanically. An intraocular lens was inserted into the capsular bag, following which the remaining cortex and OVD were removed concomitantly using an automated I/A handpiece. This technique is a simple and easy maneuver to remove the cortex from all areas, including the subincisional area, and reduce the possibility of a posterior capsule tear..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:65 |
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| Enthalten in: |
Indian journal of ophthalmology - 65(2017), 1, Seite 59-61 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lim, Dongkwon [VerfasserIn] |
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| Links: |
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| BKL: | |
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| Themen: |
Cataract |
| doi: |
10.4103/ijo.IJO_456_14 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a We describe here a surgical technique of removing the remaining cortex after phacoemulsification without performing the conventional irrigation/aspiration (I/A) procedure. In this technique, the remaining cortex attached to the posterior capsule was separated and dissected into several pieces by continuous irrigation with balanced salt solution, which was supplied through a syringe attached to a bent, blunt-tip needle. Approximately, 10 s of manual irrigation separated most of the remaining cortex from the posterior capsule. Then, the capsular bag was inflated with an ophthalmic viscoelastic device (OVD), and this pushed the separated cortex toward the capsular fornix mechanically. An intraocular lens was inserted into the capsular bag, following which the remaining cortex and OVD were removed concomitantly using an automated I/A handpiece. This technique is a simple and easy maneuver to remove the cortex from all areas, including the subincisional area, and reduce the possibility of a posterior capsule tear. | ||
| 540 | |a Nutzungsrecht: © COPYRIGHT 2017 Medknow Publications and Media Pvt. Ltd. | ||
| 650 | 4 | |a Health aspects | |
| 650 | 4 | |a Methods | |
| 650 | 4 | |a Surgery | |
| 650 | 4 | |a Cataract | |
| 650 | 4 | |a cortex removal | |
| 650 | 4 | |a Medicine | |
| 650 | 4 | |a irrigation and aspiration | |
| 650 | 4 | |a Cataract surgery | |
| 650 | 4 | |a Ophthalmology | |
| 650 | 4 | |a RE1-994 | |
| 700 | 1 | |a Han, Se |4 oth | |
| 700 | 1 | |a Han, Kyung |4 oth | |
| 700 | 1 | |a Shin, Min |4 oth | |
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