PMID- 30569378
OWN - NLM
STAT- MEDLINE
DCOM- 20190327
LR  - 20200225
IS  - 1613-2246 (Electronic)
IS  - 0021-5155 (Linking)
VI  - 63
IP  - 2
DP  - 2019 Mar
TI  - Influence of irrigation dynamic pressure-assisted hydrodissection on intraocular 
      pressure and the posterior chamber-anterior hyaloid membrane barrier during 
      cataract surgery.
PG  - 221-228
LID - 10.1007/s10384-018-00646-3 [doi]
AB  - PURPOSE: To evaluate the effects of irrigation dynamic pressure-assisted 
      hydrodissection (irrigation-hydro: iH) on intraocular pressure (IOP) and the 
      posterior chamber-anterior hyaloid membrane (PC-AHM) barrier in porcine eyes. 
      STUDY DESIGN: Experimental. METHODS: In Experiment 1, IOP was recorded while 
      irrigating the anterior chamber (AC), during iH, and during phacoemulsification 
      and aspiration in 20 porcine eyes using bottle heights of 50, 70, and 90 cm. 
      Under the same conditions, IOP was recorded during conventional manual cortical 
      cleaving hydrodissection (manual hydro: mH) in 20 porcine eyes. In Experiment 2, 
      after iH, ACs were perfused for 5 seconds with balanced salt solution containing 
      1.0-mum fluorescein beads in 20 porcine eyes using bottle heights of 70, 118, and 
      169 cm. PC-AHM barrier staining grade was evaluated by the Miyake-Apple view. 
      RESULTS: iH proved successful in all cases. In Experiment 1, IOP during iH was 
      relatively stable and peak IOP was below the baseline bottle height-dependent 
      pressure. No eyes showed a peak IOP > 75 mmHg during iH, but 8 eyes showed a peak 
      IOP > 75 mmHg during mH. In Experiment 2, neither AHT nor ruptured capsules were 
      observed at any bottle height. CONCLUSION: Unlike mH, IOP during iH was 
      relatively stable without any high peak IOP. Thus, iH offers a simple technique 
      for reducing peak IOP and avoiding disturbance of the PC-AHM barrier.
FAU - Kato, Noriko
AU  - Kato N
AD  - Department of Ophthalmology, School of Medicine, The Jikei University, 3-25-8 
      Nishishinbashi, Minato-ku, Tokyo, 105-8461, Japan. mapletown@hotmail.co.jp.
FAU - Masuda, Yoichiro
AU  - Masuda Y
AD  - Department of Ophthalmology, School of Medicine, The Jikei University, 3-25-8 
      Nishishinbashi, Minato-ku, Tokyo, 105-8461, Japan.
FAU - Oki, Kotaro
AU  - Oki K
AD  - Oki Eye Surgery Center, Tokyo, Japan.
FAU - Iwaki, Hisaharu
AU  - Iwaki H
AD  - Iwaki Eye Clinic, Tokyo, Japan.
FAU - Tsuneoka, Hiroshi
AU  - Tsuneoka H
AD  - Department of Ophthalmology, School of Medicine, The Jikei University, 3-25-8 
      Nishishinbashi, Minato-ku, Tokyo, 105-8461, Japan.
LA  - eng
PT  - Journal Article
DEP - 20181219
PL  - Japan
TA  - Jpn J Ophthalmol
JT  - Japanese journal of ophthalmology
JID - 0044652
SB  - IM
MH  - Animals
MH  - Anterior Chamber/*metabolism
MH  - Disease Models, Animal
MH  - Intraocular Pressure/*physiology
MH  - *Intraoperative Complications
MH  - Lens Implantation, Intraocular/*methods
MH  - Membranes/*pathology
MH  - Phacoemulsification/*methods
MH  - Pressure
MH  - Swine
MH  - Therapeutic Irrigation/*methods
OTO - NOTNLM
OT  - Anterior hyaloid membrane tear
OT  - Capsular block syndrome
OT  - Hydrodissection-related complication
OT  - Infusion misdirection syndrome
OT  - Low-invasive cataract surgery
EDAT- 2018/12/21 06:00
MHDA- 2019/03/28 06:00
CRDT- 2018/12/21 06:00
PHST- 2017/04/12 00:00 [received]
PHST- 2018/11/05 00:00 [accepted]
PHST- 2018/12/21 06:00 [pubmed]
PHST- 2019/03/28 06:00 [medline]
PHST- 2018/12/21 06:00 [entrez]
AID - 10.1007/s10384-018-00646-3 [pii]
AID - 10.1007/s10384-018-00646-3 [doi]
PST - ppublish
SO  - Jpn J Ophthalmol. 2019 Mar;63(2):221-228. doi: 10.1007/s10384-018-00646-3. Epub 
      2018 Dec 19.