Hydroexpression - A novel technique to deliver nucleus in small-incision cataract surgery

Nucleus delivery is still considered as one of the tough steps in SICS among fresh surgeons, leading to various complications at the verge of completion of surgery which further decreases the confidence and elongates the learning curve among the residents,trainees & fellows. Our new technique 揌ydroexpression� utilizes minimal manipulation and minimal instrumentation to express the nucleus with only hydro-cannula without even use of viscoelastics in AC.

Extraction of the Leris Nucleus with the Continuous Circular Capsulorhexis in Planned Extracapsular Cataract Extraction

We rotated the nucleus up to 270 degree and dislocated it into anterior chamber through the diameter of capsulorhexis after hydrodissection by using the planned extracapsular cataract extraction. And later on we delivered the nucleus with hydroexpression using the irrigating Vectis or with rotation using a lens spatuala. As a result of this procedure, the nucleus was safely delivered in all cases without zonular rupture and vitreous prolapse.