A simple, safe bimanual technique for subincisional cortex aspiration.
We developed a bimanual manipulation technique to facilitate the removal of the subincisional lens cortex in small-incision phacoemulsification cataract surgery. A separate aspiration handpiece, not connected to an aspiration tube, is passed into the anterior chamber through a side-port corneal incision. Under irrigation with a standard infusion/aspiration (I/A) handpiece through a tunnel incision, the cortex is stripped off with the separate handpiece and removed with the I/A handpiece. In 227 eyes, subincisional cortex removal and subsequent capsule polishing was performed safely with the separate handpiece. Rupture of the posterior lens capsule occurred in 3 high-risk eyes.
Department of Ophthalmology, Higashi-Ikoma Hospital, Ikoma City, Japan.
Takashi
T
Sakamoto
Kunihiko
K
Shiraki
Kohji
K
Inoue
Nobuyo
N
Yanagihara
Shinsuke
S
Ataka
Kaori
K
Kurita
D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction / Q000295:instrumentation / Q000379:methods*; D017889:Exfoliation Syndrome / Q000150:complications; D005260:Female; D006801:Humans; D007904:Lens Cortex, Crystalline / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D012449:Safety