Abstract
Thorough cortical removal in cataract surgery is a prerequisite for ensuring a good visual outcome. In manual small incision cataract surgery, cortex is aspirated using the Simcoe cannula. Cortical cleaving hydrodissection greatly eases this procedure. The side port incision helps in subincisional cortical removal. Sequential stripping of the anterior leaflet of the cortical sheet would ensure complete removal. Care should be taken in special situations like small pupil, positive pressure, pseudo-exfoliation syndrome, presence of posterior capsular rupture, etc. Beginners should always attempt cortical cleanup only in a closed and well-formed anterior chamber to avoid complications.
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References
Natchiar G. Manual on small incision cataract surgery, Madurai, Aravind Publications, 2nd ed. 2004.
Luther L. Fry, Ashok Garg, Francisco Guitérrez-Camona, Suresh K. Pandey, Geoffrey Tabin. Clinical practice in small incision cataract surgery. New Delhi, Jaypee Brothers Medical Publishers (P) 2004.
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© 2016 Springer International Publishing Switzerland
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Ganesh, S.C., Raman, G.V., Narendran, K. (2016). Cortex Removal. In: Henderson, B. (eds) Manual Small Incision Cataract Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-24666-6_9
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DOI: https://doi.org/10.1007/978-3-319-24666-6_9
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Online ISBN: 978-3-319-24666-6
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