1996
DOI: 10.1016/s0886-3350(96)80112-x
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Bimanual irrigation/aspiration

Abstract: A bimanual irrigation/aspiration (I/A) device was developed to allow safer, easier removal of the lens cortex after phacoemulsification. The device can be used in cases of subincisional cortex, small pupils, flat anterior chambers, subluxated lenses, or previous damaged anterior segments. It can also minimize vitreous complications in cases of a posterior capsule rupture.

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Cited by 37 publications
(8 citation statements)
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“…Bimanual I/A enables safe removal of the cortical lens material and appears to be superior to a coaxial approach in this setting as it does not create a vulnerable 1-way valve at the main incision. 3 We have also found that keeping the irrigation cannula above the iris diaphragm, with the tip directed to the iris posterior to the main wound, helps prevent iris prolapse during OVD removal.…”
mentioning
confidence: 80%
“…Bimanual I/A enables safe removal of the cortical lens material and appears to be superior to a coaxial approach in this setting as it does not create a vulnerable 1-way valve at the main incision. 3 We have also found that keeping the irrigation cannula above the iris diaphragm, with the tip directed to the iris posterior to the main wound, helps prevent iris prolapse during OVD removal.…”
mentioning
confidence: 80%
“…Various bimanual solutions have been proposed based on different techniques and instrumentation to allow complete cortical removal. 2,[8][9][10] We developed a system (DASIS) that allows access to 360° of the cortex without a hand exchange. With DASIS, the main incision (2.5 to 3.2 mm) is always occupied by the standard I/A handpiece, reducing wound leakage and maintaining chamber stability to the greatest possible degree.…”
Section: Discussionmentioning
confidence: 99%
“…Baseado nestes precedentes, temos procurado desenvolver uma técnica que seja facilmente reprodutível, segura e que permita a manutenção do eixo visual translúcido no pós-operatório imediato e tardio das crianças pseudofácicas, evitando-se a manipulação vítrea. Em recente publicação 9 , descrevemos o uso da irrigação/aspiração bimanual automatizada, que já era usada em adultos 10,11 , também nas cirurgias de catarata infantil. Os resultados demonstraram uma melhor aspiração cortical e conseqüentemente uma menor reação inflamatória no pós-operatório imediato.…”
Section: Discussionunclassified