To assess the efficacy and safety of a noncontact, fluid-based capsular polishing technique (hydropolish) to remove residual cortical fibers (RCFs) and epithelial cells from the posterior and equatorial capsule in phacoemulsification cataract surgery.
Hydropolish involved manual irrigation of the posterior and equatorial capsule after irrigation/aspiration, using a 27-G hydrodissection cannula. This prospective, consecutive, single surgeon controlled trial was conducted at a dedicated ophthalmic surgery center in Sydney, Australia, between December 20, 2006, and July 14, 2010. Single eyes of consecutive patients underwent cataract surgery without use of hydropolish (control group), while those on or after July 21, 2010, underwent hydropolish (intervention group). Corrected distance visual acuity (CDVA) up to 1 month postoperatively, surgical complications, and hydropolish time were documented.
A total of 1531 eyes were included in this study (hydropolish n = 682; control n = 849). After adjusting for age, sex, and nuclear sclerosis grade, no significant difference was found between hydropolish and control groups when preoperative CDVA was compared against postoperative CDVA at 1 day, 1 week, and 1 month (p>0.05).
Hydropolish is a rapid and safe technique that can remove RCFs from the posterior and equatorial capsule in phacoemulsification cataract surgery. It does not compromise postoperative CDVA.
Eur J Ophthalmol 2015; 25(6): 571 - 574
Article Type: SURGICAL TECHNIQUE
AuthorsSarah B. Wang, Xhian M. Quah, Shahriar Amjadi, Jessica Tong, Ian C. Francis
- • Accepted on 14/04/2015
- • Available online on 01/05/2015
- • Published in print on 21/10/2015
This article is available as full text PDF.
- Wang, Sarah B. [PubMed] [Google Scholar] 1
- Quah, Xhian M. [PubMed] [Google Scholar] 2
- Amjadi, Shahriar [PubMed] [Google Scholar] 2, 3
- Tong, Jessica [PubMed] [Google Scholar] 2
- Francis, Ian C. [PubMed] [Google Scholar] 2, 3, 4, * Corresponding Author (email@example.com)
University of Sydney, Sydney - Australia
University of New South Wales, Sydney - Australia
Ophthalmic Surgery Centre, Sydney - Australia
Department of Ophthalmology, Prince of Wales Hospital, Sydney - Australia