Vacuum-Assisted Continuous Circular Capsulorhexis Using Bimanual Irrigation and Aspiration System of Phaco Machine in Immature Cataract

Öksüz, Hüseyın; Dağlioğlu, Mutlu Cıhan; Çoşkun, Mesut; İlhan, Özgür; Tuzcu, Esra Ayhan; İlhan, Nilüfer; Ayıntap, Emre; Keskın, Uğurcan; Taşkın, İbrahim

doi:10.1155/2013/921646

Cited by 7 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another technique using irrigation aspiration cannula was attempted in immature cataracts, but obtaining the same in mature intumescent cataracts could be difficult due to the irrigating jet of fluid from the irrigation cannula. [4] The limitations of our study could be the technical comfort of surgeons to perform the same.…”

Section: Discussionmentioning

confidence: 97%

A Novel Inexpensive Rhexis Technique-Can Vac Ccc for Immature and White Intumescent Cataract - Our Experience

Kodavoor¹,

Deb²,

Dandapani³

2020

IJOVS

View full text Add to dashboard Cite

Background: 870 eyes of 855 patients with intumescent immature and total white cataract were enrolled in this retrospective clinical study (2013-2018). Methods: Through a side port using a 25 gauze round/flat tipped fine cannula connected to a 5ml syringe (after a nick being created by a regular 26 gauze cystitome) the free capsular flap was vacuumed by the tip of the 25 gauge cannula and suction pressure created by withdrawing the piston of the syringe and a controlled motion done to create a circular rhexis, without withdrawing the instrument from anterior chamber and aspirating liquefied cortex by the same cannula. All cases were done under peribulbar anesthesia. Results: A complete cannula vacuum continuous curvilinear capsulorhexis (CanVac-CCC) was achieved in 860 cases (98.85%) except eight cases (0.91%) which had anterior capsular rhexis extension and two cases (0.22%) which had also extended posterior capsular tear. Conclusion: Performing CanVac-CCC with our technique is safe and affordable and may be an alternative promising method to routine CCC by using 26 gauge cystitome, Utrata or microrhexis forceps.

show abstract

Section: Discussionmentioning

confidence: 97%

A Novel Inexpensive Rhexis Technique-Can Vac Ccc for Immature and White Intumescent Cataract - Our Experience

Kodavoor¹,

Deb²,

Dandapani³

2020

IJOVS

View full text Add to dashboard Cite

show abstract

“…described a technique to perform capsulorhexis without VS, but they were used after hydrodissection, and for the IOL implantation. 22 Wright et al . compared their results of small-incision extracapsular cataract surgery using the anterior chamber maintainer without VS, and they finally showed that the magnitude and range of the endothelial cell loss associated with this technique were significantly greater than those described following phacoemulsification.…”

Section: Discussionmentioning

confidence: 99%

Corneal Endothelial Health after Phacoemulsification Cataract Surgery Without Viscoelastic Substance

Roberto¹

2021

Journal of Current Ophthalmology

View full text Add to dashboard Cite

Purpose: To evaluate corneal endothelial health after cataract surgery without viscoelastic substance (VS). Methods: A prospective, non-randomized, case-series study was developed, and phacoemulsification cataract surgery without VS was performed on 1324 eyes between September 2015 and September 2018. As main outcomes, mean endothelial cell density (ECD) and mean central corneal thickness (CCT) were assessed before surgery and then 6 and 12 months after surgery. Data are summarized as mean, standard deviation (SD), and 95% confidence intervals (CI). Results: A total of 1324 eyes were operated, and 31 were excluded by intraoperative complications. The mean ECD baseline was 2506 cells/mm2 (SD = 215, CI = 2494–2518); 6 months after surgery, it was 2328 cells/mm2 (SD = 213, CI = 2316–2340); and 1 year after surgery, it was 2265 cells/mm2 (SD = 214, CI = 2253–2277). In terms of percentage differences, the mean ECD decrease was 9.4% after 1 year. The mean preoperative CCT was 531.6 μm (SD = 34.8, CI = 529.7–533.5); 6 months after surgery, it was 537.7 μm (SD = 38.2, CI = 535.6–539.8); and 1 year after surgery, it was 537.9 μm (SD = 37.9, CI = 535.8–540.0). The mean CCT increased 1.2% 1 year after surgery. Conclusions: Phacoemulsification cataract surgery can be completely performed without VS, with very low intraoperative complications. The postoperative ECD and CCT changes occurred primarily during the first 6 months, and the changes decreased during the second semester.

show abstract

“…Schulze et al [25] avoid their use, only during IOL implantation, without finding difference in endothelial cell loss. Oksuz et al [26] described a technique without VS to perform capsulorhexis, but they use it after hydrodissection and for the IOL implantation. Finally, they aspirated it from the anterior chamber.…”

Section: Is This Technique Secure?mentioning

confidence: 99%

Phacoemulsification Cataract Surgery without Viscoelastic Substance: Bianchi’s Method

Roberto¹

2018

Difficulties in Cataract Surgery

View full text Add to dashboard Cite

Life expectancy of the population increase and cataract development will affect all the people with aging. Cataract surgery, a worldwide performed procedure, evolves and progresses. However, different techniques exist, which could be selected for different cases. Any ideal technique should be safe, simple, fast, and easy to learn with good clinical outcome. This chapter will describe one technique to operate cataracts with those characteristics and to perform phacoemulsification cataract surgery without viscoelastic substance. Some advantages of this technique are related to avoiding viscoelastic potential problems, as postoperative intraocular pressure elevation or anterior chamber inflammation associated with viscoelastic. Moreover, a fundamental factor to remark is the difference between work into the anterior chamber with negative pressure or positive pressure. Because the anterior chamber is maintained by the balanced salt solution with the continuous irrigation without viscoelastic. Performing the capsulorhexis is easier. Other advantages are shorten surgical time, fewer economical cost, and potentially fewer complications. Some limitations are as follows: intraocular lens must be one piece foldable, and principally, patients with corneal endothelial pathology must be excluded. Tips, step-by-step surgery, recommendations, and evolution of the technique will be described, with the wish that many surgeons will try to perform Bianchi's method (bimanual, microincision phacoemulsification cataract surgery without viscoelastic substance) for your next patient.

show abstract

Vacuum-Assisted Continuous Circular Capsulorhexis Using Bimanual Irrigation and Aspiration System of Phaco Machine in Immature Cataract

Cited by 7 publications

References 6 publications

A Novel Inexpensive Rhexis Technique-Can Vac Ccc for Immature and White Intumescent Cataract - Our Experience

A Novel Inexpensive Rhexis Technique-Can Vac Ccc for Immature and White Intumescent Cataract - Our Experience

Corneal Endothelial Health after Phacoemulsification Cataract Surgery Without Viscoelastic Substance

Phacoemulsification Cataract Surgery without Viscoelastic Substance: Bianchi’s Method

Contact Info

Product

Resources

About