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Type: Journal article
Title: Hydropolish: a controlled trial on a technique to eradicate residual cortical lens fibers in phacoemulsification cataract surgery
Author: Wang, S.
Quah, X.
Amjadi, S.
Tong, J.
Francis, I.
Citation: European Journal of Ophthalmology, 2015; 25(6):571-574
Publisher: Wichtig Editore
Issue Date: 2015
ISSN: 1120-6721
Statement of
Sarah B. Wang, Xhian M. Quah, Shahriar Amjadi, Jessica Tong, Ian C. Francis
Abstract: PURPOSE: To assess the efficacy and safety of a noncontact, fluid-based capsular polishing technique (hydropolish) to remove residual cortical fibers (RCFs) and epithelial cells from the posterior and equatorial capsule in phacoemulsification cataract surgery. METHODS: Hydropolish involved manual irrigation of the posterior and equatorial capsule after irrigation/aspiration, using a 27-G hydrodissection cannula. This prospective, consecutive, single surgeon controlled trial was conducted at a dedicated ophthalmic surgery center in Sydney, Australia, between December 20, 2006, and July 14, 2010. Single eyes of consecutive patients underwent cataract surgery without use of hydropolish (control group), while those on or after July 21, 2010, underwent hydropolish (intervention group). Corrected distance visual acuity (CDVA) up to 1 month postoperatively, surgical complications, and hydropolish time were documented. RESULTS: A total of 1531 eyes were included in this study (hydropolish n = 682; control n = 849). After adjusting for age, sex, and nuclear sclerosis grade, no significant difference was found between hydropolish and control groups when preoperative CDVA was compared against postoperative CDVA at 1 day, 1 week, and 1 month (p>0.05). CONCLUSIONS: Hydropolish is a rapid and safe technique that can remove RCFs from the posterior and equatorial capsule in phacoemulsification cataract surgery. It does not compromise postoperative CDVA.
Keywords: Lens Cortex, Crystalline; Epithelial Cells; Humans; Postoperative Complications; Sodium Chloride; Minerals; Acetates; Drug Combinations; Debridement; Phacoemulsification; Prospective Studies; Visual Acuity; Adult; Aged; Aged, 80 and over; Middle Aged; Female; Male; Young Adult; Therapeutic Irrigation; Posterior Capsule of the Lens
Description: Available online on 1/05/2015
Rights: © Wichtig Publishing
RMID: 0030029158
DOI: 10.5301/ejo.5000622
Appears in Collections:Opthalmology & Visual Sciences publications

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