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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Recenzenci Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Opłaty publikacyjne Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
3/2009
vol. 111
 
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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

  1. Zakład Pielęgniarstwa i Społecznych Problemów Medycznych Śląskiego Uniwersytetu Medycznego w Katowicach
  2. Oddział Okulistyki Okręgowego Szpitala Kolejowego w Katowicach
Klinika Oczna 2009, 111 (3): 207-211
Data publikacji online: 2009/10/14
Pełna treść artykułu Pobierz cytowanie
 
Wstęp
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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