Minimal water-jet hydrodissection

Taş, Ahmet

doi:10.2147/opth.s152227

Cited by 6 publications

(6 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 28 ] The hydro cannula is passed below the anterior lens capsule and advanced 1 mm behind the rhexis margin in the subcapsular plane. [ 29 ] The fluid wave is advanced gradually after lifting the anterior capsular margin. As the fluid wave passes behind the lens, it separates the cortex from the capsule.…”

Section: Resultsmentioning

confidence: 99%

Evolution of manual small-incision cataract surgery from 8 mm to 2 mm - A comprehensive review

Gurnani

Mishra

Kaur

et al. 2022

Indian Journal of Ophthalmology

View full text Add to dashboard Cite

Cataract is the most common cause of reversible blindness worldwide, accounting for approximately 50% of blindness worldwide. Cataract surgery is the most common surgical procedure performed in routine ophthalmic practice. It has undergone tremendous evolution, and the incision size has progressively reduced from 10–12 mm in extracapsular cataract surgery (ECCE) to 6–8 mm for manual small-incision cataract surgery (MSICS) and 2.2–2.8 mm in phacoemulsification. In a developing country like India, with a massive backlog of cataract, everyone cannot afford private surgery like phacoemulsification. Moreover, annual maintenance of the machine, cost of foldable IOLs, need for greater skill, learning curve, and difficulty in performing the surgery in mature and brown cataracts are other barriers. Due to these factors, MSICS is the surgery of choice in the developing world, with profound societal and economic benefits and similar visual recovery compared to phacoemulsification. During the last two decades, MSICS gained popularity in developing countries and has undergone tremendous advances. This article aims to review the various techniques of MSICS and how the surgery has evolved over the years, particularly focusing on the current technique of 2-mm MSICS.

show abstract

Section: Resultsmentioning

confidence: 99%

Evolution of manual small-incision cataract surgery from 8 mm to 2 mm - A comprehensive review

Gurnani

Mishra

Kaur

et al. 2022

Indian Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Multi or single site techniques are commonly performed for hydrodissection. Single site hydrodissection is advocated to prevent blow out of the posterior capsule with luxation of nucleus in the vitreous cavity 7, 10, 11. Multiquadrant hydrodissection has been shown to make easier the removal of nucleus and cortex during phacoemulsification procedure 4 …”

Section: Discussionmentioning

confidence: 99%

“…They further stated high energy obtained by high-speed injection of small amount of fluid ensures highly effective hydrodissection. In this technique as well rotation of the nucleus was performed 10 …”

Section: Discussionmentioning

confidence: 99%

Multiquadrant versus single quadrant cortical cleaving hydrodissection during phacoemulsification of age related cataract

Joshi

2019

Saudi Journal of Ophthalmology

View full text Add to dashboard Cite

PurposeTo evaluate and compare single and multiquadrant hydrodissection in age related cataract.DesignProspective, observational case series.MethodsIn this study, 220 patients were consecutively assigned to either single (n = 110) or multiquadrant (n = 110) hydrodissection during phacoemulsification. Patients having operable cataract in the nuclear grade of 1–3 of Lens Opacities Classification System III were included in the study. After hydrodissection of the nucleus nuclei were not rotated. Parameters assessed were amount of balanced salt solution (BSS) required to accomplish the hydrodissection, nucleus emulsification time (NET), and cortical aspiration time (CAT). Ease in nucleus rotation during chopping of the nucleus, cortical aspiration (easy, difficult, or very difficult) and intraoperative surgical complications were qualitatively assessed.ResultsAverage amount of BSS required in multiquadrant hydrodissection was 1.7 ml (±0.9), which was more than double the single quadrant group 0.71(±0.17), p = 0.001. No statistically significant differences were observed between the two studied groups with respect to the following parameters: mean NET (single quadrant 277 sec ± 95.5, multiquadrant 267 sec ± 98.8, p = 0.379), CAT (single quadrant 75.7 sec ± 31.2, multiquadrant 73.4sec ± 33.9p = 0.301), and total fluid required (single quadrant 154 ml ± 64.9, multiquadrant 157 ml ± 66.4p = 0.708).Almost equal number of patients in both the groups had easy rotation of the nucleus (single quadrant: n = 105, 95.45% and multiquadrant n = 103, 93.64%) and cortical aspiration (n = 102, 92.72% both the groups). Three patients in multiquadrant group had posterior capsular rupture during hydrodissection.ConclusionsA single quadrant hydrodissection is sufficient for the efficient removal of nucleus and cortex.

show abstract

“…Inexperienced surgeons may perform hydrodissection followed phacoemulsi cation step by step, but usually need repeat hydrodissection to ensure cleavage complete especially in trainees, that remains risk as well as reduces e ciency in traditional method 5,6 . Hence, we modi ed hydrodissection method, to compare and analysis whether it's safety and e ciency during cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

Efficiency of modified hydrodissection vs traditional method in age related cataract surgery: a randomized clinical trial

Liu

Chen²,

Lan

et al. 2022

Preprint

View full text Add to dashboard Cite

Purpose To investigate whether our modified hydrodissection is safe and efficient in age related cataract surgery. Methods A prospective, randomized, single-blind clinical study was performed in Chongqing Bishan Old Town Hospital from May 16 to August 31, 2022. Age related cataract patients without any other ocular disease were included. They were randomly allocated into modified hydrodissection and traditional hydrodissection groups. Hydrodissection was performed using modified or traditional method. It kept the same procedures as routine in incision, continuous circular capsulorhexis, phacoemulsification, irrigation-aspiration. Hydrodissection time and Oscar score are the main measurement to evaluate the efficiency of the modified method. Descemet membrane detachment, unstable anterior chamber and posterior capsular rupture were the main measurements to evaluate the safety. Results There were 156 patients (age:71.39 ± 7.17 years old; gender: 90 (57.7%) female, 66(42.3%) male) with age related cataract participating in this study. The hydrodissection time was 12.23 ± 1.84s and 18.72 ± 1.69s in the modified hydrodissection group and traditional group, respectively (P༜.001). 89.7% of eyes in modified hydrodissection group achieved Oscar score 5, which was achieved by only 75.6% eyes in traditional group (P = .033). There was no complication occurred in these patients. Conclusions This study demonstrated that the modified hydrodissection was as safe as traditional method but with more efficiency.

show abstract

Minimal water-jet hydrodissection

Cited by 6 publications

References 11 publications

Evolution of manual small-incision cataract surgery from 8 mm to 2 mm - A comprehensive review

Evolution of manual small-incision cataract surgery from 8 mm to 2 mm - A comprehensive review

Multiquadrant versus single quadrant cortical cleaving hydrodissection during phacoemulsification of age related cataract

Efficiency of modified hydrodissection vs traditional method in age related cataract surgery: a randomized clinical trial

Contact Info

Product

Resources

About