Viscoless Microincision Cataract Surgery

Overview

Journal Clin Ophthalmol

Publisher Dove Medical Press

Specialty Ophthalmology

Date 2009 Aug 12

PMID 19668421

Citations 4

Authors

Guy Sallet

Affiliations

Soon will be listed here.

Abstract

A cataract surgery technique is described in which incisions, continuous circular capsulorhexis and hydrodissection are made without the use of any viscoelastics. Two small incisions are created through which the different parts of the procedure can take place, maintaining a stable anterior chamber under continuous irrigation. Subsequent bimanual phacoemulsification can be done through these microincisions. At the end of the procedure, an intraocular lens can be inserted through the self-sealing incision under continuous irrigation. 50 consecutive cataract patients were operated on without the use of viscoelastics and then compared with a group of 50 patients who had been helped with viscoelastics. No difference in outcome, endothelial cell count or pachymetry was noted between the two groups. No intraoperative complication was encountered. Viscoless cataract surgery was a safe procedure with potential advantages.

Citing Articles

Intraoperative floppy iris syndrome: an updated review of literature.

Kumar A, Raj A Int Ophthalmol. 2021; 41(10):3539-3546.

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Corneal Endothelial Health after Phacoemulsification Cataract Surgery without Viscoelastic Substance.

Bianchi G J Curr Ophthalmol. 2021; 33(1):75-81.

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Corneal endothelial cell changes in diabetics versus age group matched nondiabetics after manual small incision cataract surgery.

Kudva A, Lasrado A, Hegde S, Kadri R, Devika P, Shetty A Indian J Ophthalmol. 2019; 68(1):72-76.

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Vacuum-assisted continuous circular capsulorhexis using bimanual irrigation and aspiration system of phaco machine in immature cataract.

Oksuz H, Daglioglu M, Coskun M, Ilhan O, Tuzcu E, Ilhan N J Ophthalmol. 2013; 2013:921646.

PMID: 24303209 PMC: 3835205. DOI: 10.1155/2013/921646.

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