Comment on: Fluid-jet technique to polish the posterior capsule for phacoemulsification surgeries: efficacy and safety evaluation
Notice bibliographique
Résumé
We read with great interest the study by Liu et al.1 The authors have presented a well-structured study to demonstrate the efficacy and safety of the fluid-jet technique to polish the posterior capsule for phacoemulsification surgeries. Our interest was piqued because the technique of polishing the posterior capsule with jets of a balanced salt solution was first independently presented in consecutive lectures at the September 1999 Congress of the ESCRS, in Vienna, Austria, by Steve Arshinoff (author) and, then, in the immediately subsequent presentation, by Thomas Neuhann (author). Arshinoff presented this idea first at the April 1999 ASCRS Symposium on Cataract, IOL, and Refractive Surgery in Seattle, Washington, in the presentation “Extending the idea behind the viscoelastic soft-shell technique,” and it was later published, but both of us had devised the technique independently and used it for every case since the late 1980s.2 We made the following points: (1) The cannula should have a polished blunt tip to prevent snagging the posterior capsule. (2) Injection should be uninterrupted when the cannula is in the eye to prevent contacting the posterior capsule, thereby exposing the capsule only to the fluid jet. (3) The method is enhanced if the hockey stick shape of the injection cannula is used to advantage to depress the posterior lip of the incision, causing it to leak as injection is performed, so that the posterior capsule domes forward, thereby causing the injection jet to induce an S curve in the capsule, with the indentation of the S facing the injection stream, facilitating removal of the residual lens fibers. (4) The balanced salt solution–jet technique can also be very helpful to wash out the capsular fornices to remove any residual cortical fibers, which are, otherwise, often unseen, especially if the pupil has constricted during the procedure. We have each performed this technique in more than 30 000 consecutive cases since those presentations. We are convinced of its efficacy in reducing posterior capsular opacification, and Arshinoff has, therefore, taught the technique in ophthalmic viscosurgical device courses given at ASCRS, ESCRS, AAO, and many other meetings globally for almost 30 years. We therefore concur with the authors' findings of reduction of posterior capsule opacification demonstrated in the article and can confirm that that reduction lasts for many more years than the 1 year the study by Liu et al. demonstrated, as we both now have more than 30 years of follow-up of some of those initial patients. Video 1 available at, https://links.lww.com/JRS/A401, made in the 1990s by Arshinoff and shown at the Congress of the ESCRS in 1999, and at many other meetings, shows the original technique.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,006 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».