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December 1986

Intraoperative Corneal Moistening: A First-Year Resident's View of Surgery

Author Affiliations


Arch Ophthalmol. 1986;104(12):1745. doi:10.1001/archopht.1986.01050240019003

To the Editor.  —It has recently been noted1 that there is no single review article covering the current literature on the topic of corneal irrigation during ophthalmic surgery. Considering the large amount of energy and time expended by the first-year resident on this activity, we felt it necessary to describe the most modern techniques in a single report.

Materials.  —One 25-mL bottle of balanced saline solution (BSS) with a Coudé irrigating spout is the most widely used equipment. The use of straight spouts and even syringes has been reported,2 but most of our experience is in the use of the more traditional equipment.Sponge wicks are used to reduce corneal moisture in cases of overhydration, and their correct use is described elsewhere.3


—Basic Forehand.  —This is the method that must be mastered by all residents before advancing to more elaborate techniques. It involves grasping the bottle

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