Related Experiment Video
Updated: May 2, 2026
Implantation Protocol of the Foldable Capsular Vitreous Body for Complex Vitreoretinal Surgery
Published on: April 14, 2026
Ophthalmic viscosurgical device-assisted sutureless-incision cataract surgery for a hard nucleus or mature cataract
Xiaoyong Yuan1, Hui Song1, Xia Hua1
1From Tianjin Eye Hospital (Yuan, Song, Hua, Tang), Tianjin Key Laboratory of Ophthalmology and Vision Science, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China; and the Cullen Eye Institute (Wilhelmus), Baylor College of Medicine, Houston, Texas, USA.
Unlabelled:
We describe a modified method of sutureless-incision cataract surgery using an ophthalmic viscosurgical device (OVD) to extract a hard lenticular nucleus or mature cataract. After an isosceles trapezoid-shaped sclerocorneal tunnel and a round 7.0 mm diameter capsulorhexis are made, the nucleus is displaced into the anterior chamber. As OVD is injected, the OVD cannula acts as a slide to guide the nucleus out of the eye. Ophthalmic viscosurgical device-assisted sutureless-incision cataract surgery was used in a consecutive series of 182 eyes with a hard nucleus (57 eyes), mature cataract (47 eyes), or both (78 eyes). No posterior capsule rupture or vitreous loss occurred during surgery and no wound leakage or hypotony occurred postoperatively. The uncorrected visual acuity improved to 20/60 or better in 122 eyes (67%) on the first postoperative day. Ophthalmic viscosurgical device-assisted sutureless-incision cataract surgery, usually without additional instruments or sutures, offers an effective and uncomplicated technique for managing a brunescent or mature cataract.
Financial Disclosure:
No author has a financial or proprietary interest in any material or method mentioned.
