How to Manage the Cortex After CTR Insertion

Area of Science:

• Ophthalmology
• Surgical Techniques

Background:

• Capsular tension rings (CTRs) are crucial for stabilizing the capsular bag during cataract surgery.
• Residual cortex removal can be challenging when CTRs are used, potentially leading to complications.

Purpose of the Study:

• To evaluate the efficacy of a modified flushing technique for removing residual lens cortex and debris in eyes with CTRs.
• To assess the safety and effectiveness of the flushing technique in enhancing capsular cleanliness.

Main Methods:

• The study involved applying a flushing technique, originally developed for intracameral antibiotic delivery, with increased fluid volumes.
• This technique was adapted for use in cataract surgeries involving CTR implantation.
• Residual cortex and debris were irrigated and displaced into the anterior chamber for removal.

Main Results:

• The flushing technique effectively irrigated and displaced residual cortex and debris trapped by the CTR.
• This method facilitated the removal of substances that ordinary irrigation and aspiration could not eliminate.
• Bacterial pollution within the capsular bag could also be displaced for removal.

Conclusions:

• The modified flushing technique offers an effective solution for managing residual cortex and debris in CTR-assisted cataract surgery.
• This approach enhances the cleanliness of the capsular bag, potentially reducing the risk of postoperative complications.