Pure phaco: phacoemulsification without ophthalmic viscosurgical devices

Abstract

The ophthalmic viscosurgical device (OVD) is an essential part of modern phacoemulsification surgery. Many times, OVDs are blamed for intraocular pressure spikes, toxic anterior segment syndrome, and capsular bag distension syndrome. To avoid these complications, we developed a technique in which phacoemulsification can be done without using OVDs. The irrigating cannula, on a continuous irrigation mode, was introduced through a side port, and capsulorhexis and incision construction were performed under an irrigating balanced salt solution. No hydroprocedure was performed. Phacoemulsification was done by chopping technique. At the end of the procedure, the intraocular lens was implanted by wound assistance technique under a continuous irrigation mode.

Pure ICL Implantation: A Novel Ophthalmic Viscosurgical Device-Free Method

“…After performing AC drainage and administering carteolol hydrochloride drops twice, the symptoms disappeared within 24 h, and IOP decreased to 18 mmHg. Higher IOP values of the other 7 patients are 23,24,24,23,26,25,23 mmHg. Two of them (25, 26 mmHg) were given carteolol hydrochloride 2 times.…”

“…However, residual OVDs have been associated with increased or abnormal IOP, lens opacity, and slow vision recovery [ 13 – 16 , 18 , 19 ]. Bluementhal [ 22 ], Tak [ 23 ], Fatih [ 24 ], Bardoloi [ 25 ], and other researchers have used various ACM devices to avoid the use of OVDs during phacoemulsification cataract extraction or intraocular lens implantation. Pan [ 26 ] introduced ICL implantation with continuous infusion and a single-handed ACM.…”

Pure ICL Implantation: A Novel Ophthalmic Viscosurgical Device-Free Technique

“…Bluementhal [21] , Tak [22] , Fatih [23] , Bardoloi [24] and other researchers have used various ACM devices to avoid the use of OVDs during phacoemulsi cation cataract extraction or intraocular lens implantation. Pan [25] introduced ICL implantation with continuous infusion and a single-handed ACM.…”

Comparison of once daily dose of 0.3% nepafenac alone and three times dose of 0.1% nepafenac alone in pain and inflammation control after phacoemulsification

“…[ 16 ] Balanced salt solution (BSS) was used as an irrigation agent. A foldable, single-piece, hydrophobic, acrylic IOL was injected in the capsular bag;[ 17 ] 0.5 mL of preservative-free moxifloxacin (0.5%; Vigamox, Alcon Laboratories, Inc) was injected in the AC at the end of the surgery. No eye patch was applied at the end of the surgery.…”