Irrigation Aspiration/ Capsule polishing/ OVD removal
This instructional video from the Eye Surgery Instruction Course covers "IA & Capsule Polishing," essential techniques in cataract surgery for achieving optimal postoperative outcomes. It demonstrates irrigation and aspiration (IA) methods to remove cortical remnants and viscoelastic material from the capsular bag, followed by meticulous capsule polishing to ensure a smooth posterior capsule, reducing the risk of posterior capsule opacification (PCO). The lecture highlights instrument selection, such as bimanual IA handpieces, proper fluid dynamics to avoid bag collapse, and polishing tips using low-vacuum settings for safety. Key steps include:
- Post-phacoemulsification cortical cleanup with coaxial or bimanual IA systems.
- Aspiration of equatorial and forniceal cortex while protecting the zonules. Polishing the anterior and posterior capsule with a fine sponge or polishers to minimize cell migration.
- Polishing the anterior and posterior capsule with a fine sponge or polishers to minimize cell migration.
