Introducing viscoless microincision cataract surgery


Guy Sallet talks us through a new "viscoless" procedure and outlines the advantages of such surgery, which include fewer IOP spikes, shortened surgery time and less microincision blockages.

Ultrasound phacoemulsification with implantation of a foldable intraocular lens (IOL) has become today's method of choice in cataract surgery. The introduction of ophthalmic viscosurgical devices (OVDs) was a significant development and they have since become an important tool in modern surgery. However, given the possible disadvantages of OVDs, a new technique has been developed to perform microincision cataract surgery (MICS) with ultrasound phacoemulsification and implantation of a foldable IOL without the use of any viscoelastics.

Do we need viscoelastics?

Viscoelastics are used to reform and maintain a stable anterior chamber and capsular bag. They are also used to safely perform continuous capsulorhexis and in-the-bag placement of IOLs, protecting the endothelium and enhancing pupil mydriasis.

How can we perform viscoless surgery?

Related Videos
Josefina Botta, MD, MSc, at ASCRS 2024
J. Morgan Micheletti, MD, speaks at the 2024 ASCRS meeting
Dr William Wiley of Cleveland Eye Clinic, Northeast Ohio
© 2024 MJH Life Sciences

All rights reserved.