Irrigation port hydration in phacoemulsification surgery

Hisaharu Suzuki,1 Yoichiro Masuda,2 Yuki Hamajima,1 Hiroshi Takahashi3 1Department of Ophthalmology, Nippon Medical School Musashikosugi Hospital, Kawasaki City, Kanagawa, 2Department of Ophthalmology, The Jikei University, Katsushika Medical Center, Tokyo, 3Department of Ophthalmology, Nippon Medi...

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Autores principales: Suzuki H, Masuda Y, Hamajima Y, Takahashi H
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Lenguaje:EN
Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:7b83b5e6c52241fbb52d052220fceca12021-12-02T11:31:32ZIrrigation port hydration in phacoemulsification surgery1177-5483https://doaj.org/article/7b83b5e6c52241fbb52d052220fceca12018-01-01T00:00:00Zhttps://www.dovepress.com/irrigation-port-hydration-in-phacoemulsification-surgery-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hisaharu Suzuki,1 Yoichiro Masuda,2 Yuki Hamajima,1 Hiroshi Takahashi3 1Department of Ophthalmology, Nippon Medical School Musashikosugi Hospital, Kawasaki City, Kanagawa, 2Department of Ophthalmology, The Jikei University, Katsushika Medical Center, Tokyo, 3Department of Ophthalmology, Nippon Medical School, Tokyo, Japan Background: In most cases, hydration is performed by water injection into the stromal tissue with a needle. The technique is simple, however it is sometimes troublesome.Purpose: We describe a simple technique for hydrating the corneal stroma in cataract surgery using an irrigation port.Patients and methods: The technique began by pushing the irrigation port against the corneal stroma for a few seconds during phacoemulsification, which generated edema in the corneal incision that subsequently prevented leakage. This procedure is called the hydration using irrigation port (HYUIP) technique. A total of 60 eyes were randomized and placed in two groups, 30 eyes underwent surgeries using the HYUIP technique (HYUIP group) and 30 eyes underwent surgeries without the HYUIP technique (control). The three points evaluated during each surgery included 1) the occurrence of anterior chamber collapse during the pulling out of the I/A tip after inserting the intraocular lens, 2) the need for conventional hydration, and 3) watertight completion at the end stage of surgery.Results: The anterior chamber collapse and the need for conventional hydration were significantly smaller in the HYUIP group compared to the control group. Regarding the self-sealing completion, no significant difference was observed between the two groups.Conclusion: The HYUIP technique is an effective method for creating self-sealing wound. In addition, this technique helps to prevent anterior chamber collapse. Keywords: cataract surgery, hydration, irrigation and aspiration, phacoemulsification, wound, self-sealing Suzuki HMasuda YHamajima YTakahashi HDove Medical PressarticleCataract SurgeryHydrationIrrigation & AspirationPhacoemulsificationWoundOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 185-190 (2018)
institution DOAJ
collection DOAJ
language EN
topic Cataract Surgery
Hydration
Irrigation & Aspiration
Phacoemulsification
Wound
Ophthalmology
RE1-994
spellingShingle Cataract Surgery
Hydration
Irrigation & Aspiration
Phacoemulsification
Wound
Ophthalmology
RE1-994
Suzuki H
Masuda Y
Hamajima Y
Takahashi H
Irrigation port hydration in phacoemulsification surgery
description Hisaharu Suzuki,1 Yoichiro Masuda,2 Yuki Hamajima,1 Hiroshi Takahashi3 1Department of Ophthalmology, Nippon Medical School Musashikosugi Hospital, Kawasaki City, Kanagawa, 2Department of Ophthalmology, The Jikei University, Katsushika Medical Center, Tokyo, 3Department of Ophthalmology, Nippon Medical School, Tokyo, Japan Background: In most cases, hydration is performed by water injection into the stromal tissue with a needle. The technique is simple, however it is sometimes troublesome.Purpose: We describe a simple technique for hydrating the corneal stroma in cataract surgery using an irrigation port.Patients and methods: The technique began by pushing the irrigation port against the corneal stroma for a few seconds during phacoemulsification, which generated edema in the corneal incision that subsequently prevented leakage. This procedure is called the hydration using irrigation port (HYUIP) technique. A total of 60 eyes were randomized and placed in two groups, 30 eyes underwent surgeries using the HYUIP technique (HYUIP group) and 30 eyes underwent surgeries without the HYUIP technique (control). The three points evaluated during each surgery included 1) the occurrence of anterior chamber collapse during the pulling out of the I/A tip after inserting the intraocular lens, 2) the need for conventional hydration, and 3) watertight completion at the end stage of surgery.Results: The anterior chamber collapse and the need for conventional hydration were significantly smaller in the HYUIP group compared to the control group. Regarding the self-sealing completion, no significant difference was observed between the two groups.Conclusion: The HYUIP technique is an effective method for creating self-sealing wound. In addition, this technique helps to prevent anterior chamber collapse. Keywords: cataract surgery, hydration, irrigation and aspiration, phacoemulsification, wound, self-sealing 
format article
author Suzuki H
Masuda Y
Hamajima Y
Takahashi H
author_facet Suzuki H
Masuda Y
Hamajima Y
Takahashi H
author_sort Suzuki H
title Irrigation port hydration in phacoemulsification surgery
title_short Irrigation port hydration in phacoemulsification surgery
title_full Irrigation port hydration in phacoemulsification surgery
title_fullStr Irrigation port hydration in phacoemulsification surgery
title_full_unstemmed Irrigation port hydration in phacoemulsification surgery
title_sort irrigation port hydration in phacoemulsification surgery
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/7b83b5e6c52241fbb52d052220fceca1
work_keys_str_mv AT suzukih irrigationporthydrationinphacoemulsificationsurgery
AT masuday irrigationporthydrationinphacoemulsificationsurgery
AT hamajimay irrigationporthydrationinphacoemulsificationsurgery
AT takahashih irrigationporthydrationinphacoemulsificationsurgery
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