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Tri-soft shell technique.

Steve A Arshinoff¹, Richard Norman

¹York Finch Eye Associates, Humber River Hospital, University of Toronto, Toronto, Ontario, Canada. ifix2is@sympatico.ca

Journal of Cataract and Refractive Surgery

|July 30, 2013

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This study unifies various soft-shell techniques (SSTs) into an improved tri-soft shell technique (TSST). The TSST offers surgeons enhanced facility and better endothelial cell protection during ophthalmic surgery.

Area of Science:

Ophthalmology
Surgical Techniques
Viscoelastic Devices

Background:

Multiple soft-shell techniques (SSTs) exist for ophthalmic viscosurgical devices (OVDs), leading to surgeon confusion.
Current SSTs address specific challenges like disinserted zonular fibers, iris issues, Fuchs endothelial dystrophy, and posterior capsule defects.
Controlling the surgical environment with a single OVD is rheologically impossible, necessitating combinations of different OVDs.

Purpose of the Study:

To unify existing soft-shell techniques into a single, improved method.
To simplify the application of soft-shell techniques for various surgical scenarios.
To enhance surgical facility and endothelial cell protection in ophthalmic procedures.

Main Methods:

Systematic review and unification of existing soft-shell techniques.

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Development of the tri-soft shell technique (TSST) integrating rheologically different OVDs.

Demonstration of TSST's applicability from basic to complex ophthalmic surgeries.

Main Results:

The tri-soft shell technique (TSST) is presented as a unified approach to existing SSTs.
TSST simplifies the application of soft-shell principles for both common and unusual surgical circumstances.
The technique allows for greater surgical facility and improved protection of endothelial cells compared to single OVD use.

Conclusions:

The unified tri-soft shell technique (TSST) provides a standardized and intuitive approach to ophthalmic surgery.
TSST enhances surgeon's ability to manage complex cases and protect ocular tissues.
This technique represents an advancement in the use of ophthalmic viscosurgical devices for improved surgical outcomes.