Irrigation dynamic pressure-assisted hydrodissection during cataract surgery

Abstract

The irrigation dynamic pressure-assisted hydrodissection technique (irrigation-hydro [iH]) does not require performing manual hydrodissection using a syringe and cannula to achieve cortical-capsular cleavage during cataract surgery. Since the iH technique uses the phaco tip to intentionally vacuum the intraocular fluid in order to induce the irrigation dynamic pressure for cortical-capsular cleavage, there is a reduction in the intraocular pressure (IOP) from the bottle-height-dependent hydrostatic pressure. Thus, since the peak irrigation pressure derived from the phaco tip sleeve will be limited by the height of the irrigation fluid bottle, this is advantageous in helping to avoid excessively high IOP during cortical-capsular hydrodissection. Using this technique, we were able to effectively perform phacoemulsification without complications in 607 of 609 cataract eyes. Our findings show that utilization of the iH technique would be of benefit to patients, as it prevents high-pressure hydrodissection-related complications, such as capsular block syndrome and tears in the anterior hyaloid membrane during cataract surgery.

Keywords:

• cataract surgery
• hydrodissection
• irrigation pressure
• hydrodissection-related complication
• capsular block syndrome
• anterior hyaloid membrane tear
• FLACS

Acknowledgments

We thank Toshinori Okamoto, Kunihiro Asakawa, and Akiko Kiriyama for their helpful suggestions regarding this technique.

Disclosure

The authors report no conflicts of interest in this work.