{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T10:49:05Z","timestamp":1782730145059,"version":"3.54.5"},"reference-count":12,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,5,4]],"date-time":"2014-05-04T00:00:00Z","timestamp":1399161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2014,12]]},"abstract":"Abstract<\/jats:title>Purpose<\/jats:title>To assess the use of a hydrogel ocular bandage (HOB<\/jats:styled-content>) on clear corneal incisions in phacoemulsification cataract surgery and determine whether HOB<\/jats:styled-content> reduces ocular surface contaminants ingress after routine surgery.<\/jats:p><\/jats:sec>Methods<\/jats:title>In this prospective randomized controlled study, thirty eyes of patients undergoing uneventful phacoemulsification were recruited consecutively and randomly assigned to have a HOB<\/jats:styled-content> applied to the corneal incision at the end of the surgery or not. At the end of the surgery, trypan blue (TRB<\/jats:styled-content>) was instilled on the ocular surface, aqueous fluid was aspirated from the anterior chamber (AC<\/jats:styled-content>) and its optical density was measured using ultraviolet spectrophotometry. The corneal incisions were examined postoperatively using anterior segment optical coherence tomography. Main outcome measures were concentration of TRB<\/jats:styled-content> in the AC<\/jats:styled-content>, corneal incision architecture, intraocular pressure (IOP<\/jats:styled-content>) and Seidel test.<\/jats:p><\/jats:sec>Results<\/jats:title>All incisions were S<\/jats:styled-content>eidel negative. The mean IOP<\/jats:styled-content> in the immediate postoperative period was 18.1\u00a0\u00b1\u00a05.48\u00a0mmHg for the intervention group and 16.9\u00a0\u00b1\u00a05.7\u00a0mmHg for the control group (p\u00a0>\u00a00.05). No architectural differences of the incisions between the two groups were noted. The total mean length of the three\u2010step corneal incisions in the two groups was 2261.2\u00a0\u00b1\u00a096.92\u00a0\u03bc<\/jats:italic>m and 2263\u00a0\u00b1\u00a0119.75\u00a0\u03bc<\/jats:italic>m, respectively (p\u00a0>\u00a00.05). No trace of TRB<\/jats:styled-content> was detected in any of the samples.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Proper surgical wound construction without the use of a HOB<\/jats:styled-content> is efficient in preventing the ingress of fluid through the main corneal incision postoperatively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.12436","type":"journal-article","created":{"date-parts":[[2014,5,5]],"date-time":"2014-05-05T02:00:49Z","timestamp":1399255249000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Study of fluid ingress through clear corneal incisions following phacoemulsification with or without the use of a hydrogel ocular bandage: a prospective comparative randomised study"],"prefix":"10.1111","volume":"92","author":[{"given":"Evripidis","family":"Sykakis","sequence":"first","affiliation":[{"name":"Eye Treatment Centre Whipps Cross University Hospital Barts Health NHS Trust London 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