Journal of Cataract & Refractive Surgery
Volume 32, Issue 9 , Pages 1423-1425, September 2006

Surgical options in the face of positive pressure

  • Christopher Khng, MD
  • ,
  • Robert H. Osher, MD

      Affiliations

    • Corresponding Author InformationReprint requests to Robert H. Osher, MD, Cincinnati Eye Institute, 10494 Montgomery Road, Cincinnati, Ohio 45241, USA.

From Cincinnati Eye Institute (Khng, Osher), Cincinnati, Ohio, USA, and The Eye Institute (Khng), Singapore, Singapore

Accepted 2 November 2005.

Positive pressure during cataract surgery can adversely affect the clinical outcome if the surgeon is unprepared. A variety of surgical maneuvers are described, including dry insertion of the phacoemulsification needle, capsule protection with the second instrument, dry cortical aspiration in an ophthalmic viscosurgical device (OVD) environment, intraocular lens restraint with an injection cannula at the end of OVD removal, aspiration or vitrectomy through the pars plana, a technique of OVD clearance to manage extreme cases of positive pressure, and intraoperative ophthalmoscopy using a lens designed to function with the operative microscope. Mastery of these important surgical maneuvers will help the surgeon manage challenging cases of positive pressure.

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 Dr. Osher is a consultant for Alcon and Advanced Medical Optics. The other author has no financial interest in any product mentioned.

PII: S0886-3350(06)00708-5

doi:10.1016/j.jcrs.2006.06.011

Journal of Cataract & Refractive Surgery
Volume 32, Issue 9 , Pages 1423-1425, September 2006