This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Ophthalmology
The best irrigating fluid during ECCE is – 
Select and explain. 
A. Ringer lactate, B. Normal saline, C. Balanced salt solution, D. Balanced salt solution + glutathione
D: Balanced salt solution + glutathione
Answer: D: Balanced salt solution + glutathione 
Explanation: Balanced salt solution plus glutathione or BSS Plus is the best irrigating fluid for ECCE as it is protective to the corneal endothelium.
Unlike BSS, BSS plus is physiologically similar to human aqueous and vitreous and maintain endothelial cell function.