Comparison between different methods of subincisional cortex removal in phacoemulsification

ABSTRACT

This work compares between 4 methods used for removal of the subincisional cortex in phacoemulsification including the use of the standard irrigation aspiration [I/P] tip of the machine, the use of curved tips, the use of bimanual technique and lastly removal after putting the implant using It to dislodge the cortex before aspiration. 56 eyes in which phacoemulsification was chosen for removal of their cataracts and in which the procedure was completed till the end were devided randomly to 4 groups, in the first, the standard I/A probe was used and in the second, a curved one had been used while a reusable I/A bimanual set was utelized in the third group. Latsly, removal was completed after putting the I O.L. in the bag and using it to dislodge the remnants of the cortex and then aspirating them. The bimanual technique used in the third group proved to be easier, faster with less incidence of posterior capsule injury followed by using the curved tips and then the use of the implant to dislodge the material. Lastly, the use of the standard I/A tips in the first group was found to be the least satisfactory. The use of the bimanual technique in removing the subincisional cortex utelizing the side ports is very effective, faster with the least complications