Review Article

Impact of Ophthalmic Viscosurgical Devices in Cataract Surgery

Table 2

Reported wash-out times for OVDs.

Author (year)OVDsN (eyes)Wash-out time for OVD (seconds)
Mean [SD]

Espindola (2012)DisCoVisc3910.2 [3.6]
2% HPMC3913.2 [5.4]

Hutz (1996)Methocel50Healon was the easiest and quickest to remove from the anterior chamber. Healon GV was also removed easily in a short time; however, in two patients very small particles of the iris pigment were mobilized by the Healon GV. Visco adhered to the intraocular structures and was difficult to remove from the eye; Methocel was difficult to remove from the corneal endothelium
Viscoat50
Healon50
Healon GV50

Kim (2004)Soft Shell (Viscoat + Hyal-2000)69Soft Shell technique enhances OVD removal at the conclusion of surgery
Viscoat64
Hyal-200064
Provisc55

Kohnen (1996)Healon30No difference between the two groups with 20-second and 40-second wash-out times
Healon GV30

Lee (2011)Amvisc Plus3150.42 [3.83]
Balanced salt Solution + Amvisc Plus318.29 [4.40]

Miller (1999)Healon GV7019.8 [22.2]
Viscoat7075 [16.8]

Oshika (2004)Healon578Healon was significantly easier to remove compared to Healon5
Healon79

Oshika (2010)DisCoVisc154DisCoVisc showed significantly better performance than Healon5 in terms of removal
Healon5163

Rainer (2007)NaHa 1%40Removal of NaHa 1% was easy and faster than 2% HPMC in bulk fashion
2% HPMC40

Vajpayee (2005)Viscoat1966.6 [11.2]
Healon GV1945.1 [9.0]
Healon51855.47 [6.6]