During both procedures, surgeons made self-sealing clear corneal incisions for capsulorhexis and phacoemulsification. The OVDs were injected according to the manufacturers’ recommendations.
The dispersive OVD was injected straight after the main corneal incision and just before completing continuous curvilinear capsulorhexis (CCC), which was followed by phacoemulsification of the nucleus and aspiration of the residual cortex. Next, surgeons injected the cohesive solution and implanted a monofocal IOL in the capsular bag.
Residual OVD was then removed by bimanual irrigation/aspiration followed by anterior chamber rinsing. After each procedure, surgeons completed a survey to assess maintenance of the anterior chamber during CCC and IOL implantation, retention during phacoemulsification, ease of use, ergonomics, facilitation of CCC, transparency during surgery and ease of removal.