title: Irrigation dynamic pressure-assisted hydrodissection during cataract surgery.
abstract: The irrigation dynamic pressure-assisted hydrodissection technique (irrigation-hydro [iH]) does not require performing manual hydrodissection using a syringe and cannula to achieve cortical-capsular cleavage during cataract surgery. Since the iH technique uses the phaco tip to intentionally vacuum the intraocular fluid in order to induce the irrigation dynamic pressure for cortical-capsular cleavage, there is a reduction in the intraocular pressure (IOP) from the bottle-height-dependent hydrostatic pressure. Thus, since the peak irrigation pressure derived from the phaco tip sleeve will be limited by the height of the irrigation fluid bottle, this is advantageous in helping to avoid excessively high IOP during cortical-capsular hydrodissection. Using this technique, we were able to effectively perform phacoemulsification without complications in 607 of 609 cataract eyes. Our findings show that utilization of the iH technique would be of benefit to patients, as it prevents high-pressure hydrodissection-related complications, such as capsular block syndrome and tears in the anterior hyaloid membrane during cataract surgery.
authors.affiliation: Department of Ophthalmology, The Jikei University, Katsushika Medical Center.
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Masuda
authors.affiliation: Iwaki Eye Clinic.
authors.forename: Hisaharu
authors.initials: H
authors.lastname: Iwaki
authors.affiliation: Department of Ophthalmology, The Jikei University, Katsushika Medical Center.
authors.forename: Noriko
authors.initials: N
authors.lastname: Kato
authors.affiliation: Department of Ophthalmology, The Jikei University, Katsushika Medical Center.
authors.forename: Genichiro
authors.initials: G
authors.lastname: Takahashi
authors.affiliation: Oki Eye Surgery Center.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Oki
authors.affiliation: Department of Ophthalmology, The Jikei University, School of Medicine, Tokyo, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tsuneoka
keywords: FLACS; anterior hyaloid membrane tear; capsular block syndrome; cataract surgery; hydrodissection; hydrodissection-related complication; irrigation pressure