This work compares between 4 methods used for removal of the subirtcisional
cortex in phacoemulstfication including the use of the standard irrigation
aspiration (TIP) tip of the machine, the use of curved tips, the use
of bimanual technique and lastly removal after putting the implant using
it to dislodge the cortex before aspiration.
56 eyes in which phacoernuLsification was chosen for removal of their
cataracts and in which the procedure was completed till the end were devided
randomly to 4 groups, in the first, the standard I/A probe was used
and in the second, a curved one had been used while a reusable I/A bimanual
set was utelized in the third group. Latsly, removal was completed
after putting the LO.L. in the bag and using it to dislodge the remnants
of the cortex and then aspirating them .
The birnianual technique used in the third group proved to be easier.
faster with less incidence of posterior capsule injury followed by using
the curved tips and then the use of the implant to dislodge the material.
Lastly, the use of the standard I/A tips in the first group was found to be
the least satisfactory.
Conclusion : The use of the birnanual technique in removing the subirtcisional
cortex utelizing the side ports is very effective, faster with the
least complications. |
