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3/2009
vol. 111 streszczenie artykułu:
Artykuł oryginalny
Wpływ fakoemulsyfikacji zaćmy techniką koaksjalną z cięcia 3,0 mm i metodą małego cięcia (MICS) na grubość rogówki
Edward Wylęgała
1, 2
,
Małgorzata Rebkowska-Juraszek
2
,
Dariusz Dobrowolski
2
,
Anna Woyna-Orlewicz
2
Klinika Oczna 2009, 111 (3): 207-211
Data publikacji online: 2009/10/14
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To compare influence of two different cataract surgery methods on corneal thickness. Materiał i metody Prospective, randomized clinical trial with 30 patients undergoing cataract surgery with use of AMO Sovereign Compact-WhiteStar System (15 – standard coaxial, 15 – microincisional). Central corneal thickness was evaluated by means of Visante OCT (Zeiss Meditec, USA) 1 day before, 1 day, 7 days and 4 weeks after surgery. Equivalent phaco time (EPT) and percentage of phaco power (AVG), was registered after each operation. Surgeons used phaco-chop phacoemulsification technique for nuclear removal. Wyniki Mean EPT and mean AVG were comparable in both groups. Mean EPT was 8.06 ± 4.47 (s ± SD), in standard coaxial-phaco group and 8.94 ± 5.75 (s ± SD) in MICS group. Mean AVG was 13.87 ± 5.12% in standard coaxial-phaco group and 12.96 ± 5.73% in MICS group. Mean central corneal thickness increase 1 day, 7 days, 4 weeks after cataract surgery, was respectively: in standard coaxial-phaco group: 81.23 ± 53.44 (μm ± SD), 64.50 ± 50.75 (μm ± SD), 4.05 ± 15.32 (μm ± SD); in MICS group: 69.09 ± 48.69 (μm ± SD), 7.75 ± 8.24 (μm ± SD), 2.51 ± 5.32 (μm ± SD). Wnioski Microincision cataract surgery reduces risk of corneal edema when comparing to standard coaxial phacoemulsification. Visante OCT is a useful method of corneal thickness assessment after cataract surgery. Introduction To compare influence of two different cataract surgery methods on corneal thickness. Material and methods Prospective, randomized clinical trial with 30 patients undergoing cataract surgery with use of AMO Sovereign Compact-WhiteStar System (15 – standard coaxial, 15 – microincisional). Central corneal thickness was evaluated by means of Visante OCT (Zeiss Meditec, USA) 1 day before, 1 day, 7 days and 4 weeks after surgery. Equivalent phaco time (EPT) and percentage of phaco power (AVG), was registered after each operation. Surgeons used phaco-chop phacoemulsification technique for nuclear removal. Results Mean EPT and mean AVG were comparable in both groups. Mean EPT was 8.06 ± 4.47 (s ± SD), in standard coaxial-phaco group and 8.94 ± 5.75 (s ± SD) in MICS group. Mean AVG was 13.87 ± 5.12% in standard coaxial-phaco group and 12.96 ± 5.73% in MICS group. Mean central corneal thickness increase 1 day, 7 days, 4 weeks after cataract surgery, was respectively: in standard coaxial-phaco group: 81.23 ± 53.44 (μm ± SD), 64.50 ± 50.75 (μm ± SD), 4.05 ± 15.32 (μm ± SD); in MICS group: 69.09 ± 48.69 (μm ± SD), 7.75 ± 8.24 (μm ± SD), 2.51 ± 5.32 (μm ± SD). Conclusions Microincision cataract surgery reduces risk of corneal edema when comparing to standard coaxial phacoemulsification. Visante OCT is a useful method of corneal thickness assessment after cataract surgery. słowa kluczowe:
grubość rogówki, fakoemulsyfikacja, metoda małego cięcia (MICS) |
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