Premium
Safer posterior capsule polishing using the silicone sleeve from I/A cannula
Author(s) -
GIRAUD JM,
FENOLLAND J,
EL CHEHAB H,
FRANCOZ M,
SENDON D,
MESSAOUDI R,
DOT C,
MAY F,
RENARD JP
Publication year - 2012
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2012.s120.x
Subject(s) - cannula , safer , silicone , capsule , polishing , surgery , medicine , materials science , composite material , computer science , geology , paleontology , computer security
Abstract Purpose Removing last particles of nuclear cortex from central posterior capsule is sometimes difficult. Diamond blasted cannulas or silicone tipped needles are provided as extra material. We describe a new costless technique for capsular polish using the silicone sleeve of the Irrigation/Aspiration (I/A) cannula. It is also possible to do safer polish‐aspiration of cortical masses. Methods We used Bausch & Lomb* single use I/A cannula 85910ST with metallic tip recovered by a silicone sleeve. After standard I/A procedure, we push a little the sleeve ahead from the rigid plastic part of I/A cannula, just to put the sleeve a little ahead the metal cannula and recovering it. Then, we can scrap posterior capsule safely, by direct contact of the end of the silicone sleeve, with irrigation and none or small aspiration. For some adhesives greater parts of cortex, we place a lateral hole of the silicone sleeve just in front of aspiration hole in the metallic cannula. Then we can smoothly and safely scrap the capsula adhesive cortex and just after, when a part of cortex is free, aspire it with strong vacuum. Results We use this method for years with different types of phacoemulsification devices. It gives a very clean scraping of posterior caspsule with great safety. As far as we can know, we never find a description of similar technique in any publication. Conclusion This new use of silicon sleeve is very effective and free of additional costs. Compared to specific capsule polisher cannulas, this technique offers possibility to scrap capsule and do I/A in the same time. Compared to classic polishing with metallic extremity of I/A cannula, It seems more safe to do it with a soft, non traumatic silicone sleeve.