Using BSS with viscoadaptives in the ultimate soft-shell technique

The ultimate soft-shell technique compartmentalizes the anterior chamber using the ultimate low-viscosity fluid--water (as balanced salt solution [BSS] or trypan blue [Vision Blue])--in combination with 1 of 2 commercially available viscoadaptive ophthalmic viscosurgical devices: Healon5 (sodium hyaluronate 2.3%) or I-Visc Phaco (sodium hyaluronate 2.5%). The use of this technique facilitates cataract surgery with viscoadaptive OVDs and viscoadaptive removal at the end of the procedure.