{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:40:35Z","timestamp":1786653635366,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Phacoemulsification in hard cataracts is a challenge. The use of dispersive ophthalmic viscosurgical devices (OVDs) to protect the endothelium is a routine step in such scenarios. However, as OVD is transparent, it is difficult to spot within the anterior chamber. Therefore, surgeons may not be aware when the OVD coating of the endothelium disappears during surgery. Consequently, there may be too frequent OVD injections, resulting in a waste of resources. On the contrary, the surgeon may fail to inject OVD at an appropriate time, leading to greater endothelial damage. We propose a novel technique of using an air bubble as a guide that helps in identifying the time when OVD disappears from the anterior chamber, thereby suggesting the surgeon to reinject before proceeding further.<\/jats:p>","DOI":"10.4103\/ijo.ijo_2998_23","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T11:01:53Z","timestamp":1716202913000},"page":"916-918","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Air bubble guide for adequacy of ophthalmic viscosurgical device during phacoemulsification"],"prefix":"10.4103","volume":"72","author":[{"given":"Manas","family":"Nath","sequence":"first","affiliation":[{"name":"Cataract, Glaucoma and Refractive Services, ASG Eye Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamalai","family":"Odayappan","sequence":"additional","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Pondicherry, India"},{"name":"Kellogg Eye Center, University of Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koushik","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Vitreo-Retina and Uvea Services, ASG Eye Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sivagami","family":"Nachiappan","sequence":"additional","affiliation":[{"name":"Pediatric Ophthalmology, Aravind Eye Hospital, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"R1-20260504","doi-asserted-by":"crossref","first-page":"3969","DOI":"10.4103\/ijo.IJO_559_22","article-title":"Evaluation of striate keratopathy after manual small-incision cataract surgery and its final outcomes in a tertiary hospital","volume":"70","author":"Rajappa","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R2-20260504","first-page":"2152","article-title":"Mechanisms of mitotic inhibition in corneal endothelium: Contact inhibition and TGF-beta2","volume":"43","author":"Joyce","year":"2002","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"R3-20260504","doi-asserted-by":"crossref","first-page":"e0285419.","DOI":"10.1371\/journal.pone.0285419","article-title":"Etiology and outcome of penetrating keratoplasty in bullous keratopathy post-cataract surgery vs post-glaucoma surgery","volume":"18","author":"Jung","year":"2023","journal-title":"PLoS One"},{"key":"R4-20260504","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/ICU.0000000000000538","article-title":"Different methods of chopping in cataract surgery","volume":"30","author":"Jacob","year":"2019","journal-title":"Curr Opin Ophthalmol"},{"key":"R5-20260504","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1136\/bjo.2007.128504","article-title":"Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction","volume":"92","author":"Zeng","year":"2008","journal-title":"Br J Ophthalmol"},{"key":"R6-20260504","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1159\/000060781","article-title":"The staar wave","volume":"34","author":"Fine","year":"2002","journal-title":"Dev Ophthalmol"},{"key":"R7-20260504","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1038\/sj.eye.6702356","article-title":"Feasibility of bimanual microincision phacoemulsification in hard cataracts","volume":"21","author":"Assaf","year":"2007","journal-title":"Eye (Lond)"},{"key":"R8-20260504","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1177\/112067210701700504","article-title":"Comparison of BD. Multivisc with the soft shell technique in cases with hard lens nucleus and Fuchs endothelial dystrophy","volume":"17","author":"Fasce","year":"2007","journal-title":"Eur J Ophthalmol"},{"key":"R9-20260504","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1007\/s40123-021-00403-9","article-title":"Ophthalmic viscosurgical devices (OVDs) in challenging cases: A review","volume":"10","author":"Borkenstein","year":"2021","journal-title":"Ophthalmol Ther"},{"key":"R10-20260504","doi-asserted-by":"crossref","first-page":"6390706.","DOI":"10.1155\/2018\/6390706","article-title":"Effect of reformation of the anterior chamber by air or by a balanced salt solution (BSS) on corneal endothelium after phacoemulsification: A comparative study","volume":"2018","author":"Alsmman","year":"2018","journal-title":"J Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2998_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:19Z","timestamp":1786650019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2998_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,20]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_2998_23","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,20]]},"assertion":[{"value":"2023-11-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}