Abstract
Most surgeons perform hydrodissection with the intention of injecting fluid into the potential space between the lens capsule and the nucleus. Cortical cleaving hydrodissection is achieved if the fluid separates the cortical material completely from the capsule, leaving a bare surface after lens removal. Although perfect hydrodissection can reduce the need for subsequent soft lens material (SLM) removal, in practice, the injection of fluid results in the separation of the lens endonucleus and epinucleus from the cortex and capsule. With rear-ended training the Trainee will be familiar with removing this thin layer of SLM that remains attached to the capsule.
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References
Fine IH. Cortical cleaving hydrodissection. J Cataract Refract Surg. 1992;18(5):508–12.
Faust KJ. Hydrodissection of soft nuclei. Am Intraocular Implant Soc J. 1984;10:75–7.
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Gupta, R. (2017). Hydrodissection. In: Phacoemulsification Cataract Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-59924-3_6
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DOI: https://doi.org/10.1007/978-3-319-59924-3_6
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