2956: viscoelastic pressure wave for MSICS
How do you safely and efficiently deliver the lens nucleus during Manual Small Incision Cataract Surgery (MSICS)? In this video, our guest surgeon demonstrates an elegant technique using a viscoelastic pressure wave to facilitate nucleus expression. Instead of relying on heavy mechanical manipulation or risky pressing maneuvers, the surgeon performs a slow and highly controlled injection of an ophthalmic viscosurgical device (OVD) behind the nucleus. This precise injection creates a hydrostatic pressure wave that gently floats and prolapses the large nucleus out of the capsular bag and brings it forward into the anterior chamber for easy expression from the eye. It is an excellent pearl for protecting the posterior capsule and minimizing corneal endothelial stress during manual cases. Watch the full surgical video to master this invaluable OVD fluidics technique and elevate your MSICS outcomes.
