Dr. RAJENDRA PRASAD

DR. ARVIND KUMAR MORYA, Dr.ANURAG BADHANI

Abstract

Complex posterior polar cataract is one of the difficult surgical challenges due to its high incidence of inadvertent posterior capsular disruption and intraoperative complications. We advocated a new surgical technique Hydissect a bimanual irrigation aspiration cannula controlled dissection, separation and extraction of cortical matter, epinuclear membrane and polar cataractous plaque with simultaneous posterior capsulorrhexis in 6 cases of complex posterior polar cataract, having complete adhesion of cataractous plaque and defective posterior capsule. Surgery was conducted successfully in all the 6 eyes. The incidence of successful posterior capsular rhexis was 100 %, vitrectomy was required in 2 cases (33.3 %),in the bag IOL was placed in all our cases 6 of 6 cases (100 %). Hydissect was highly effective in preventing the risks of further disruption of posterior capsule and posterior segment complications and simplifies phacoemulsification in complex posterior polar cataract.

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