Posters

Manual cleaning of the posterior capsule: technique and results

Poster Details

First Author: A.Bikbulatova RUSSIA

Co Author(s):    M. Bikbov                    

Abstract Details

Purpose:

To evaluate the effectiveness and safety of manual cleaning of the posterior lens capsule in case of primary fibrosis.

Setting:

Ufa Eye Research Institute, Russia

Methods:

During cataract phacoemulsification opacification of the posterior capsule was noted in 29 (4.5%) of 650 patients. It was verified like dense fibrous layer in the optical zone. The posterior capsule was cleaned using the INTREPID® irrigation and aspiration bimanual system of handpieces (Alcon). Using the angled edge metal tip of the irrigation handpiece the fibrous patches of the posterior capsule was delicately scraped off. Simultaneously irrigation flow was supplied, maintaining the depth of the anterior chamber and washing out the scavenged fibrous layers.

Results:

During manual cleaning there were no cases of posterior capsule damage. Peeling of the posterior capsule provided transparency of the optical zone, which allowed to achieve high postoperative visual outcomes. The tip of the irrigation handpiece due to the pointed beveled edge effectively removed fibrous layers, tightly soldered to the posterior capsule. Meanwhile, the smooth surface of the irrigation tip prevented rupture of the posterior lens capsule. It must be noted that effective cleaning of the fibrous modified capsule was technically impossible using the tip of the aspiration handpiece.

Conclusions:

The peeling of the opacificated posterior capsule using the INTREPID® irrigation handpiece is a safe and effective procedure and can be offered as an alternative to primary posterior capsulorhexis and YAG laser dissection.

Financial Disclosure:

None