OCT 30, 2011
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Dispersive OVD and Bimanual IA
CTR with Larger Dialysis
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CTR with Smaller Dialysis
By David F. Chang, MD
Cataract/Anterior Segment
A CTR can compensate for 3 to 4 clock hours of zonular dialysis by redistributing instrumentation forces to the remaining stronger zonules. This reduces the risk of aspirating the dehisced portion of the capsular bag. The advantage of bimanual IA instrumentation is the ability to dissociate the aspiration and irrigation ports. The latter can be deliberately distanced from the region of the zonular dialysis to avoid posteriorly directed infusion of fluid.