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The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery
Femtosecond laser-assisted cataract surgery (FLACS) changes the intraoperative environment due to the generation of intracapsular gas that induces a high intracapsular volume. Manual hydrodissection (mH) may induce high intracapsular pressure (ICP) and additional intracapsular volume, thereby leadin...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157999/ https://www.ncbi.nlm.nih.gov/pubmed/30275679 http://dx.doi.org/10.2147/OPTH.S173088 |
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author | Masuda, Yoichiro Iwaki, Hisaharu Watanabe, Akira Takada, Akiko Okamoto, Toshinori Oki, Kotaro Nakano, Tadashi Tsuneoka, Hiroshi |
author_facet | Masuda, Yoichiro Iwaki, Hisaharu Watanabe, Akira Takada, Akiko Okamoto, Toshinori Oki, Kotaro Nakano, Tadashi Tsuneoka, Hiroshi |
author_sort | Masuda, Yoichiro |
collection | PubMed |
description | Femtosecond laser-assisted cataract surgery (FLACS) changes the intraoperative environment due to the generation of intracapsular gas that induces a high intracapsular volume. Manual hydrodissection (mH) may induce high intracapsular pressure (ICP) and additional intracapsular volume, thereby leading to capsular block syndrome (CBS). Since the phaco-sleeve irrigation-assisted hydrodissection (iH) technique is used to initially groove and split the lens and remove the intracapsular gas, this can reduce the intracapsular volume while bypassing the intracapsular lens prior to the hydrodissection. As iH uses the phaco tip to intentionally vacuum the intraocular fluid for use in inducing the irrigation jet from the sleeve side holes, the ICP cannot surpass the set irrigation pressure, thereby avoiding CBS. Using this technique, we performed FLACS without CBS in 310 cataract eyes. Our findings suggest that the iH technique may be beneficial for patients by preventing CBS during FLACS. |
format | Online Article Text |
id | pubmed-6157999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61579992018-10-01 The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery Masuda, Yoichiro Iwaki, Hisaharu Watanabe, Akira Takada, Akiko Okamoto, Toshinori Oki, Kotaro Nakano, Tadashi Tsuneoka, Hiroshi Clin Ophthalmol Methodology Femtosecond laser-assisted cataract surgery (FLACS) changes the intraoperative environment due to the generation of intracapsular gas that induces a high intracapsular volume. Manual hydrodissection (mH) may induce high intracapsular pressure (ICP) and additional intracapsular volume, thereby leading to capsular block syndrome (CBS). Since the phaco-sleeve irrigation-assisted hydrodissection (iH) technique is used to initially groove and split the lens and remove the intracapsular gas, this can reduce the intracapsular volume while bypassing the intracapsular lens prior to the hydrodissection. As iH uses the phaco tip to intentionally vacuum the intraocular fluid for use in inducing the irrigation jet from the sleeve side holes, the ICP cannot surpass the set irrigation pressure, thereby avoiding CBS. Using this technique, we performed FLACS without CBS in 310 cataract eyes. Our findings suggest that the iH technique may be beneficial for patients by preventing CBS during FLACS. Dove Medical Press 2018-09-20 /pmc/articles/PMC6157999/ /pubmed/30275679 http://dx.doi.org/10.2147/OPTH.S173088 Text en © 2018 Masuda et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Methodology Masuda, Yoichiro Iwaki, Hisaharu Watanabe, Akira Takada, Akiko Okamoto, Toshinori Oki, Kotaro Nakano, Tadashi Tsuneoka, Hiroshi The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery |
title | The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery |
title_full | The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery |
title_fullStr | The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery |
title_full_unstemmed | The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery |
title_short | The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery |
title_sort | safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery |
topic | Methodology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157999/ https://www.ncbi.nlm.nih.gov/pubmed/30275679 http://dx.doi.org/10.2147/OPTH.S173088 |
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