Dr. PAVITRA PATEL

DR. NITIN BALAKRISHNAN, DR. NIKHIL BALAKRISHNAN

Abstract

Purpose: To demonstrate a new hydrodissection technique in cases of high risk of iris prolapse to prevent the same.

Methodology: The prospective interventional study was conducted at a single centre during a period of 2 years. Hydrodissection prior to Phacoemulsification was performed using this novel technique in 42 patients who had a high risk of iris prolapse including patients on Tamsulosin or short main port wounds. Phaco probe is inserted into the main wound & hydrodissection is performed through side port incision.

Results: None of the 42 patients had prolapse of iris from the main port or side port wounds during hydrodissection. 41 of the 42 patients(93.37%) had a freely rotating nucleus following hydrodissection.

Conclusion: This novel technique of placing the phaco probe to plug the main port during hydrodissection can be successfully used to prevent Intraoperative Floppy Iris Syndrome

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