Abstract

SA.15.05

A stable anterior chamber and a reduced fluid consumption in bimanual cataract surgery is achieved with the new OD sleeve

Wehner W.
Maximilians-eye clinic, Nürnberg

Objective: Bimanual cataract surgery has to offer comparable conditions for the surgeon according to chamber stability and fluid consumption, to become a real alternative to the established coaxial technique.
Methods: A new sleeve was used at the phaco hand piece as well as on the irrigation hand piece. 38 patients have been operated bimanual and 46 patients coaxial while the fluid consumption for the phaco emulsification was recorded.
Results: The new OD sleeve seals the incisions from outside, allows small paracentesis and improves the bimanual surgery considerably. Bimanual surgery with an equal fluid consumption compared to coaxial surgery was achieved. The time for lens removal performing bimanual surgery were on average only 28 seconds longer compared with the coaxial technique. The fluid consumption per unit of time is reduced; the treatment is smoother and demonstrates less turbulences in the eye. The new sleeve reduces the trauma of the tissue, since the incisions can be performed wider than required for the instruments, without any negative influence on the tightness, which would reduce the chamber stability.
Conclusions: Bimanual cataract surgery is faster, more efficient and much safer with the new OD sleeve.

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