The safety and efficacy of phacoemulsification surgery in uncomplicated cataracts with and without an ophthalmic-viscosurgical-device

Akmaz B., Kilic D., Duru N.

European Journal of Ophthalmology, cilt.33, sa.1, ss.269-277, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 1
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1177/11206721221116701
  • Dergi Adı: European Journal of Ophthalmology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.269-277
  • Anahtar Kelimeler: endothelial cell density, intraocular pressure, phacoemulsification, viscosurgical device, ENDOTHELIAL-CELL LOSS, INTRAOCULAR-LENS IMPLANTATION, ANTERIOR-CHAMBER MAINTAINER, VISCOELASTIC SUBSTANCE, PRESSURE, THICKNESS, INCISIONS, STANDARD, HEALON
  • Kayseri Üniversitesi Adresli: Hayır

Özet

© The Author(s) 2022.Purpose: To compare and evaluate the results of phacoemulsification surgery involving and not involving an ophthalmic-viscosurgical-device (OVD). Methods: A prospective, randomized controlled trial included 60 eyes of 60 patients scheduled to receive phacoemulsification surgery. In order of presentation, patients were randomized into two groups to undergo different surgical techniques: the OVD-free group (n = 30) and the OVD group (n = 30). Each patient’s operating time, total ultrasonography (U/S) time, cumulative dissipated energy (CDE), aspiration time, and volume of balanced salt solution (BSS) aspirated were recorded. At 1 day, 1 week, and 1 and 3 months postoperation, measurements of endothelial cell density (ECD) and intraocular pressure (IOP), were taken and compared between the groups. Results: Total U/S time (p =.567) and CDE (p =.168) were similar between the groups. In the OVD group, operating time (p =.011), aspiration time (p <.001), and volume of BSS aspirated (p <.001) were greater than in the OVD-free group. The change in ECD between the groups was not statistically significant at all visits (p =.433, p =.147, p =.379, p =.534; respectively). Although IOP increased in the OVD group at 1 day postoperation (p =.001), no difference emerged between the groups at 3 months postoperation (p =.121). Conclusion: Phacoemulsification surgery without an OVD took less time than with the OVD and caused no significant loss in ECD. Surgeons concerned about elevated IOP following cataract surgery should apply the OVD-free method.