Cortex Removal

  • Sandra C. GaneshEmail author
  • Ganesh V. Raman
  • Kalpana Narendran


Thorough cortical removal in cataract surgery is a prerequisite for ensuring a good visual outcome. In manual small incision cataract surgery, cortex is aspirated using the Simcoe cannula. Cortical cleaving hydrodissection greatly eases this procedure. The side port incision helps in subincisional cortical removal. Sequential stripping of the anterior leaflet of the cortical sheet would ensure complete removal. Care should be taken in special situations like small pupil, positive pressure, pseudo-exfoliation syndrome, presence of posterior capsular rupture, etc. Beginners should always attempt cortical cleanup only in a closed and well-formed anterior chamber to avoid complications.


Cortex Simcoe cannula Anterior chamber Side port Subincisional Posterior capsule 


  1. 1.
    Natchiar G. Manual on small incision cataract surgery, Madurai, Aravind Publications, 2nd ed. 2004.Google Scholar
  2. 2.
    Luther L. Fry, Ashok Garg, Francisco Guitérrez-Camona, Suresh K. Pandey, Geoffrey Tabin. Clinical practice in small incision cataract surgery. New Delhi, Jaypee Brothers Medical Publishers (P) 2004.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Sandra C. Ganesh
    • 1
    Email author
  • Ganesh V. Raman
    • 2
  • Kalpana Narendran
    • 3
  1. 1.Department of Pediatric Ophthalmology and StrabismusAravind Eye HospitalCoimbatoreIndia
  2. 2.Department of GlaucomaAravind Eye HospitalCoimbatoreIndia
  3. 3.Department of Pediatric Ophthalmology and StrabismusAravind Eye HospitalCoimbatoreIndia

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