A novel minimal fluid technique for effective and safe lens hydrodissection during cataract surgery

Hung-Yuan Lin; Ya-Jung Chuang; Ting-Yu Lin; Ming Chen; Pi-Jung Lin

doi:10.4103/tjo.tjo_137_18

A novel minimal fluid technique for effective and safe lens hydrodissection during cataract surgery

Taiwan J Ophthalmol. 2019 Jan-Mar;9(1):43-45. doi: 10.4103/tjo.tjo_137_18.

Authors

Hung-Yuan Lin^{1

2

3}, Ya-Jung Chuang⁴, Ting-Yu Lin⁵, Ming Chen⁶, Pi-Jung Lin⁷

Affiliations

¹ Universal Eye Center, Zhongli, Taiwan.
² Department of Optometry, Central Taiwan University of Science and Technology, Taichung, Taiwan.
³ Department of Ophthalmology, Fujian Medical University, Fujian Sheng, China.
⁴ Universal Eye Center, Long-Tan, Taiwan.
⁵ Department of Chemistry, Barnard College, Columbia University, New York, USA.
⁶ Department of Surgery, Division of Ophthalmology, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, USA.
⁷ Universal Eye Center, Taipei, Taiwan.

Abstract

Traditional hydrodissection may cause posterior capsule rupture (PCR) if excessive fluid accumulates. In this study, we describe the successful application of a novel minimal fluid hydrodissection technique in 100 consecutive cataract surgery cases. This technique separates the nucleus from the capsule utilizing low hydrostatic pressure and precise kinetic movement of a small volume (around 0.2 cc) of balanced salt solution. There were no instances of PCR. This technique is suitable for a range of cases, including femtosecond laser-assisted cataract surgery and posterior subcapsular cataract.

Keywords: Capsular block syndrome; cataract surgery; hydrodissection; minimal fluid technique; phacoemulsification; posterior capsule rupture.