Affordable Access

Small-incision manual extracapsular cataract extraction using selective hydrodissection.

Authors
  • 1
  • 1 Goldschleger Eye Institute, Sheba Medical Center, Sackler School of Medicine, Tel Aviv University, Tel-Hashomer, Israel. , (Israel)
Type
Published Article
Journal
Ophthalmic surgery
Publication Date
Volume
23
Issue
10
Pages
699–701
Identifiers
PMID: 1436973
Source
Medline
License
Unknown

Abstract

Hydrodissection is a technique in which balanced salt solution is injected through a cannula into various layers of a cataractous lens to separate the lens lamella in a nonspecific location. Selective hydrodissection allows separation of the lens lamella at different desired anatomical layers. The technique allows the smallest possible nucleus, ie, the hard-core nucleus, to be hydroexpressed as a separate entity, requiring, correspondingly, a relatively small capsulorhexis and limbal incision. Then, in a second maneuver, the epinucleus, which engulfs the hardcore nucleus to form the adult nucleus, also can be aspirated or hydroexpressed as a whole. Selective hydrodissection permits scleral incision and stitchless surgery in planned extracapsular cataract extraction and also may serve as an intermediate step for surgeons who wish to convert to or learn phacoemulsification techniques.

Statistics

Seen <100 times