DR. HRIDYA MOHAN

Abstract

Corticocapsular adhesions(CCA) are firm attatchments between capsule and the underlying cortex, which makes rotation of the nucleus difficult. Excessive force applied during rotation can result in zonular damage. This paper describes a novel technique, Sweeping hydrodissection which helps in breaking these adhesions. Here, a regular hydrodissection is followed by a controlled injection while sweeping the blunt hydrodissection cannula under the capsulorhexis margin in the area of CCA. This technique facilitates effortless rotation of the nucleus and easy cortex removal as the leathery cortex is mechanically debrided by the cannula during the sweeping motion. A study conducted in thirty patients with CCA who underwent this technique showed that this is a safe, simple and time saving technique.

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