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  • Back Dispersive OVD and Bimanual IA
    CTR with Larger Dialysis Next

    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.