A modified-simple technique of removing the lens cortex during cataract surgery

Kyung Eun Han, Se Hoon Han, Dongkwon Lim, Min Chul Shin

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)59-61
Number of pages3
JournalIndian Journal of Ophthalmology
Volume65
Issue number1
DOIs
StatePublished - Jan 2017

Keywords

  • Cataract surgery
  • cortex removal
  • irrigation and aspiration

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