Outcomes of coaxial microincision cataract surgery versus conventional phacoemulsification surgery

Q4 Medicine

Asian Journal of Ophthalmology Pub Date : 2019-01-17 DOI:10.35119/asjoo.v16i3.458

A. Malik, Smruti Ranjan Dethi, Y. Gupta, Alka S. Gupta

{"title":"Outcomes of coaxial microincision cataract surgery versus conventional phacoemulsification surgery","authors":"A. Malik, Smruti Ranjan Dethi, Y. Gupta, Alka S. Gupta","doi":"10.35119/asjoo.v16i3.458","DOIUrl":null,"url":null,"abstract":"Aim: To compare surgical parameters and visual outcomes of coaxial microincision cataract surgery (MICS) with standard phacoemulsification. \nMethods: A prospective randomized study was conducted on 60 eyes of 60 patients with age-related uncomplicated cataract who underwent: standard phacoemulsification surgery (30 eyes) i.e., Group 1, or coaxial MICS (30 eyes) i.e., Group 2. Intraoperative parameters were mean effective phacoemulsification power (EPP), effective phacoemulsification time (EPT), and total volume of balanced salt solution (BSS) used. Best-corrected visual acuity (BCVA) and surgically induced astigmatism (SIA) were evaluated pre- and postoperatively. \nResults: Mean BCVA at 6 weeks was 0.04 ± 0.07 in Group 1 and 0.05 ± 0.08 in Group 2. No significant difference was observed in SIA between the two groups. Mean EPT was 29.80 ± 3.67 seconds in Group 1 and 31.93 ± 4.08 seconds in Group 2. The mean total EPP in Group 1 was 35.77 ± 5.17%, whereas it was 33.70 ± 3.05% in Group 2. There was a significant statistical difference between mean EPP and EPT in the two groups. Mean total BSS volume used in Group 1 was 128.83 ± 19.81 ml, whereas it was 139.33 ± 13.57 ml in Group 2. \nConclusion: Although EPT and BSS volume used were significantly higher in coaxial MICS, the postoperative results of the two techniques were comparable.","PeriodicalId":39864,"journal":{"name":"Asian Journal of Ophthalmology","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Journal of Ophthalmology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35119/asjoo.v16i3.458","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Aim: To compare surgical parameters and visual outcomes of coaxial microincision cataract surgery (MICS) with standard phacoemulsification. Methods: A prospective randomized study was conducted on 60 eyes of 60 patients with age-related uncomplicated cataract who underwent: standard phacoemulsification surgery (30 eyes) i.e., Group 1, or coaxial MICS (30 eyes) i.e., Group 2. Intraoperative parameters were mean effective phacoemulsification power (EPP), effective phacoemulsification time (EPT), and total volume of balanced salt solution (BSS) used. Best-corrected visual acuity (BCVA) and surgically induced astigmatism (SIA) were evaluated pre- and postoperatively. Results: Mean BCVA at 6 weeks was 0.04 ± 0.07 in Group 1 and 0.05 ± 0.08 in Group 2. No significant difference was observed in SIA between the two groups. Mean EPT was 29.80 ± 3.67 seconds in Group 1 and 31.93 ± 4.08 seconds in Group 2. The mean total EPP in Group 1 was 35.77 ± 5.17%, whereas it was 33.70 ± 3.05% in Group 2. There was a significant statistical difference between mean EPP and EPT in the two groups. Mean total BSS volume used in Group 1 was 128.83 ± 19.81 ml, whereas it was 139.33 ± 13.57 ml in Group 2. Conclusion: Although EPT and BSS volume used were significantly higher in coaxial MICS, the postoperative results of the two techniques were comparable.

查看原文本刊更多论文

同轴微切口白内障手术与传统超声乳化白内障手术的疗效比较

目的:比较同轴微切口白内障手术(MICS)与标准超声乳化手术的手术参数和视力结果。方法:对60例年龄相关性无并发症白内障患者的60只眼进行前瞻性随机研究:标准超声乳化术(30眼)作为第一组，或同轴MICS(30眼)作为第二组。术中参数为平均有效超声乳化功率(EPP)、有效超声乳化时间(EPT)、使用的平衡盐溶液总量(BSS)。术前、术后分别评估最佳矫正视力(BCVA)和手术性散光(SIA)。结果:第1组6周平均BCVA为0.04±0.07，第2组为0.05±0.08。两组间SIA无显著差异。1组平均EPT为29.80±3.67 s, 2组平均EPT为31.93±4.08 s。组1平均总EPP为35.77±5.17%，组2平均总EPP为33.70±3.05%。两组患者平均EPP、EPT比较，差异均有统计学意义。组1平均总BSS体积为128.83±19.81 ml，组2平均总BSS体积为139.33±13.57 ml。结论:虽然共轴mic术中EPT和BSS的使用体积明显更高，但两种技术的术后效果具有可比性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Asian Journal of Ophthalmology Medicine-Ophthalmology

自引率

0.00%

发文量

期刊介绍： Asian Journal of OPHTHALMOLOGY is the official peer-reviewed journal of the South East Asia Glaucoma Interest Group (SEAGIG) and is indexed in EMBASE/Excerpta Medica. Asian Journal of OPHTHALMOLOGY is published quarterly (four [4] issues per year) by Scientific Communications International Limited. The journal is published on-line only and is distributed free of cost via the SEAGIG website.