Refractive Changes Induced by Ophthalmic Viscosurgical Devices in Cataract Surgery.

IF 2 4区医学 Q3 OPHTHALMOLOGY

Current Eye Research Pub Date : 2025-10-23 DOI:10.1080/02713683.2025.2574886

Luiz Felipe Fontella Souza, Pedro Carlos Carricondo, Bernardo Kaplan Moscovici, Cesar Martins Cortez Vilar, Larissa Gouvea, Wilson Takashi Hida

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引用次数: 0

Abstract

Purpose: To evaluate the refractive changes induced by ophthalmic viscosurgical devices (OVDs) in the anterior chamber after intraocular lens (IOL) implantation using intraoperative aberrometry (IA).

Methods: A nonrandomized prospective interventional case series of ten consecutive patients undergoing routine cataract surgery was conducted. Exclusion criteria included previous ocular surgery, corneal opacities, vitreous or macular lesions, and extreme axial lengths. Intraoperative refractive measurements were taken using IA after IOL implantation with cohesive (Provisc, Alcon), intermediate (Vistagel, Johnson & Johnson), and dispersive (Viscoat, Alcon) OVDs. Balanced Salt Solution (BSS) was used as a control. Statistical analysis compared refractive deviations across OVDs.

Results: Provisc, a cohesive OVD, demonstrated the least refractive deviation (median SE -1.0 D) and minimal impact on refractive outcomes. Viscoat, a highly dispersive OVD, induced the greatest refractive deviation (median SE -1.7 D) compared to the control with BSS (median SE -0.1 D). Statistically significant differences in refractive deviations were observed among the tested OVDs compared to BSS (p < 0.05).

Conclusion: This study demonstrates that OVD choice significantly influences refractive outcomes in cataract surgery. Provisc (cohesive) produced the smallest refractive deviation (median SE -1.0 D), whereas Viscoat (dispersive) caused the greatest deviation (median SE -1.7 D) compared with BSS (-0.1 D). These findings underscore the importance of careful OVD selection to optimize refractive precision and highlight the need for further research in diverse surgical settings.

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白内障手术中粘胶手术装置引起的屈光变化。

目的：应用术中像差仪（IA）评价人工晶状体（IOL）植入术后前房眼粘手术装置（OVDs）引起的屈光变化。方法：对连续10例常规白内障手术患者进行非随机前瞻性介入治疗。排除标准包括既往眼部手术、角膜混浊、玻璃体或黄斑病变和极端眼轴长度。内聚（Provisc, Alcon）、中间（Vistagel, Johnson & Johnson）和弥散（Viscoat, Alcon） ovd植入术中使用IA进行屈光测量。以平衡盐溶液（BSS）作为对照。统计分析比较了ovd的屈光偏差。结果：Provisc是一种内聚性OVD，其屈光偏差最小（中位SE -1.0 D），对屈光结果的影响最小。Viscoat是一种高度色散的OVD，与BSS（中位SE -0.1 D）的对照组相比，产生了最大的折射偏差（中位SE -1.7 D）。与BSS相比，OVD的屈光偏差差异有统计学意义(p)。结论：OVD的选择显著影响白内障手术的屈光结果。Provisc（内聚）产生最小的折射偏差（中位数SE -1.0 D），而Viscoat（色散）与BSS （-0.1 D）相比产生最大的折射偏差（中位数SE -1.7 D）。这些发现强调了仔细选择OVD以优化屈光精度的重要性，并强调了在不同手术环境下进一步研究的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Eye Research 医学-眼科学

CiteScore

4.60

自引率

0.00%

发文量

163

审稿时长

12 months

期刊介绍： The principal aim of Current Eye Research is to provide rapid publication of full papers, short communications and mini-reviews, all high quality. Current Eye Research publishes articles encompassing all the areas of eye research. Subject areas include the following: clinical research, anatomy, physiology, biophysics, biochemistry, pharmacology, developmental biology, microbiology and immunology.