Hydroprocedures- The Miracle Tool of Phacoemulsification: Visual Outcome and Complications of Fifteen Cases of Phacoemulsification Performed in a Regional Institute of Ophthalmology
Journal Title: International Journal of Current Research and Review - Year 2018, Vol 10, Issue 1
Abstract
Introduction: It has been our observation that in phacoemulsification many layers of hydrodelineation help in naturally cleaving the natural crystalline lens layer by layer. Subsequent emulsification of each layer is easy. The remaining epinuclear and cortical plate is easy to remove by repeating hydrodissection or hydrodelineation as required. Aim: The aim of this study has been to document the visual outcome and complications of fifteen cases of phacoemulsification of patients with nuclear sclerosis one and two using multiple layers of hydrodelineation performed at our Regional Institute of Ophthalmology. Methodology: Fifteen patients having visually significant cataract with nuclear sclerosis one and two were enrolled in our study. Phacoemulsification was performed in all fifteen eyes via the temporal approach. We created multiple waves of hydrodelineation at deeper nuclear levels as identified on the slit lamp examination as natural layers of the endonucleus at approximately one mm depth intervals. Thus we created as small a central nuclear chunk as possible. This was then held by the phaco probe and directly chopped and emulsified. The remaining nuclear, epinuclear and cortical layers were removed layer by layer via gripping with phaco probe at edge of shell and subsequently emulsifying the layer. The other steps were as per protocol . Results: All the fifteen patients had good postoperative visual recovery with no major intraoperative or postoperative complications for the reported period of six weeks. Discussion: We report successful phacoemulsification using multiple layers of hydroprocedures to “divide” the nucleus along its natural cleavage planes followed subsequently by emulsification. Conclusion: We report successful phacoemulsification using multiple layers of hydroprocedures to “divide” the nucleus along its natural cleavage planes followed subsequently by emulsification.
Authors and Affiliations
Dr. Garima Agrawal
Keywords
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- EP ID EP532706
- DOI 10.7324/IJCRR.2018.1015
- Views 135
- Downloads 0
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