Comparison between Active and Gravity-based Phacoemulsification Fluidics Systems in Immediate Sequential Bilateral Cataract Surgery

Kong, Seok Joon; Jang, Cheolwon; Lim, Tae Hyung; Choi, Kee Yong; Cho, Beom Jin

doi:10.3341/jkos.2017.58.1.27

J Korean Ophthalmol Soc

2017

DOI: 10.3341/jkos.2017.58.1.27

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Comparison between Active and Gravity-based Phacoemulsification Fluidics Systems in Immediate Sequential Bilateral Cataract Surgery

Seok Joon Kong

Cheolwon Jang

Tae Hyung Lim

et al.

Abstract: Purpose:To compare the clinical outcomes during phacoemulsification when using active fluidics (Centurion Conclusions:The efficacy of phacoemulsification in the Centurion ® group was superior to that in the Infiniti ® group. The level of intraoperative pain and clinical outcomes 1 month after surgery were not significantly different between the two groups.

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2020

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Safety of Active Phacoemulsification Fluidics with Bevel-down Phaco-tip on Corneal Endothelial Cells

Koo¹,

Lee²,

Lee³

et al. 2020

J Korean Ophthalmol Soc

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Purpose: To evaluate the safety of active phacoemulsification fluidics with a bevel-down phaco-tip on corneal endothelial cells in patients with various corneal endothelial cell densities (ECDs). Methods: One hundred and seventy-three eyes of 111 patients who underwent cataract surgery using active phacoemulsification fluidics with a bevel-down phaco-tip technique were consecutively enrolled. We analyzed the postoperative changes in corneal parameters including ECD and clinical factors associated with percent change in ECD. Results: Preoperative mean ECD was 2,511.02 ± 463.14 cells/mm 2 (range, 540-3,390 cells/mm 2 ). There was a significant change in postoperative ECD (-50.70 cells/mm 2 , p < 0.017), and no significant change in hexagonality or coefficients of variation. A higher preoperative mean ECD (B = -0.010, p < 0.001), a higher grade of nucleus sclerosis (B = -3.002, p < 0.001), and a younger age (B = 0.167, p = 0.040) were associated with a larger percent change in ECD. Conclusions: There was very low ECD loss after active phacoemulsification fluidics with a bevel-down phaco-tip. The lower preoperative ECD was not a risk factor for postoperative ECD loss. Therefore, we suggest that active phacoemulsification fluidics with a bevel-down phaco-tip technique can be performed safely in patients with low ECD when nuclear sclerosis is not severe.

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Safety of Active Phacoemulsification Fluidics with Bevel-down Phaco-tip on Corneal Endothelial Cells

Koo¹,

Lee²,

Lee³

et al. 2020

J Korean Ophthalmol Soc

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show abstract

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Comparison between Active and Gravity-based Phacoemulsification Fluidics Systems in Immediate Sequential Bilateral Cataract Surgery

Cited by 1 publication

References 33 publications

Safety of Active Phacoemulsification Fluidics with Bevel-down Phaco-tip on Corneal Endothelial Cells

Safety of Active Phacoemulsification Fluidics with Bevel-down Phaco-tip on Corneal Endothelial Cells

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