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Year : 2021  |  Volume : 59  |  Issue : 3  |  Page : 254-258

Phacoemulsification without manual hydrodissection: “Passive-Hydro Phaco”

Centre for Sight Eye Institute, New Delhi, India

Correspondence Address:
Dr. Mithun Thulasidas
Centre for Sight Eye Institute, Plot No. 9, Sector 9, Dwarka, New Delhi - 110 075
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_40_21

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Purpose: The aim of this study was to describe a technique, “Passive-Hydro Phaco” and to evaluate the outcomes of this technique in eyes with visually significant cataract. Design: This was a retrospective interventional study. Materials and Methods: We conducted a single-center study including eyes with visually significant cataract that had undergone the technique of phacoemulsification without manual hydrodissection during a period of 3 months. The functional outcomes were assessed based on postoperative corrected distance visual acuity (CDVA) at 3 weeks and 3 months, intraoperative complications, and endothelial cell count (ECC) at 3 months of follow-up. Results: The study included 112 patients (112 eyes) with a mean age of 69.2 ± 8.8 years. The mean preoperative logarithm of the minimal angle of resolution (logMAR) CDVA improved from 0.60 ± 0.20 to 0.08 ± 0.12 at 3 weeks of follow-up (P < 0.001) and remained the same till 3 months. One hundred and six eyes (94.6%) had a CDVA of logMAR <0.3 and six eyes (5.4%) had a CDVA of logMAR 0.3–0.6 at 3 weeks postoperatively. The mean difference between pre- and post-operative ECC at 3 months was 5.46 ± 26.72 cells/mm2 (P = 0.928). No posterior capsule rupture or significant intraoperative complications occurred in any of the cases. Conclusion: Passive-Hydro Phaco technique is an effective solution to avoid hydrodissection-related complications in high-risk cases.

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