Corneal edema recovery after phacoemulsification in type 2 diabetic versus non-diabetic patients

Sekelj, Sandra; Liovic, Martina; Konjević-Pernar, Slavica; Sekelj, Alen; Farena, Suzana

doi:10.5603/dk.a2021.0003

Cited by 3 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were statistically significant differences between postoperative days 1 and 7 (Wilcoxon signed-rank test = -8.514, p < .001), as well as between postoperative day 7 and two months after the operation (Wilcoxon signed-rank test = -2.828, p < .01). In a previously published article, we compared corneal edema recovery and visual acuity between patients with type 2 diabetes mellitus and patients without type 2 diabetes (6).…”

Section: Resultsmentioning

confidence: 99%

“…The clear Southeastern European Medical Journal, 2022; 6 (1) corneal incision wound was hydrated and prophylactic intracameral injection of cefuroxime or vancomycin was given. Postoperative treatment included the use of dexamethasone/neomycin/polymyxin B (Maxitrol) drops and bromfenac drops in all type 2 diabetic patients based on our previously described protocol (6).…”

Section: Methodsmentioning

confidence: 99%

“…Patients were followed up on postoperative days 1 and 7 and after 2 months. Two independent observers graded postoperative corneal edema recovery using three grading scales: clear cornea, focal corneal edema and diffusive corneal edema, as previously described (6).…”

Section: Methodsmentioning

confidence: 99%

“…In a previously published article by Sekelj et al, corneal edema recovery was compared between patients with type 2 diabetes mellitus and patients without type 2 diabetes (6). After that, we wanted to analyze the use of the new phaco technology in our hospital on postoperative corneal edema recovery.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Postoperative Corneal Edema After Phacoemulsification

Milec

Sekelj

Konjević-Pernar³

2022

Southeast. Eur. med. j. (Online)

Self Cite

View full text Add to dashboard Cite

Aim: To determine the effect of nuclear opalescence (NO) on intraoperative parameters during phacoemulsification using the WhiteStar Signature® PRO and to show the impact of preoperative and intraoperative parameters on postoperative corneal edema.Methods: This prospective study included 267 patients selected to undergo phacoemulsification using the WhiteStar Signature® PRO system at the Department of Ophthalmology of the General Hospital “Dr Josip Benčević”, Slavonski Brod, Croatia. NO was graded using the Lens Opacities Classification System III. Preoperative parameters were age, sex, NO and preoperative central corneal thickness. Intraoperative parameters of phacoemulsification included in the study were ultrasound time (UST), phaco time using Ellips FX technology (EFX) and average phaco power (AVG). Patients were followed up on postoperative days 1 and 7 and after two months. The state of the cornea was noted in each follow-up.Results: There was a statistically significant increase of intraoperative parameters with NO. Postoperative corneal edema depended on all measured intraoperative parameters (UST, EFX and AVG, all p < .001), patient’s age (p < .05) and NO (p < .001) on postoperative day 1, while on postoperative day 7, it depended on UST (p = .011) EFX (p = .012) and NO (p < .05).Conclusion: Older patients, higher grade of NO and amount of energy consumed during phacoemulsification using the WhiteStar Signature® PRO are predictive factors for severity of transient corneal edema. We found this information important for better preoperative planning of phacoemulsification, as well as for better postoperative results.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Postoperative Corneal Edema After Phacoemulsification

Milec

Sekelj

Konjević-Pernar³

2022

Southeast. Eur. med. j. (Online)

Self Cite

View full text Add to dashboard Cite

show abstract

“…PCR may also result in the postoperative deterioration of visual acuity. Moreover, without proper treatment, PCR can cause many additional complications, such as retinal detachment, macular edema, uveitis, glaucoma, and intraocular lens (IOL) dislocation [49].…”

Section: Complications In the Phacoemulsification Techniquementioning

confidence: 99%

Phacoemulsification: Proposals for Improvement in Its Application

2021

View full text Add to dashboard Cite

A cataract is defined as opacity of the crystalline lens. It is currently one of the most prevalent ocular pathologies and is generally associated with aging. The most common treatment for cataracts is surgery. Cataract surgery is a quick and painless process, is very effective, and has few risks. The operation consists of removing the opacified lens and replacing it with an intraocular lens. The most common intraocular lens removal procedure that is currently used is phacoemulsification. The energy applied in this process is generated by ultrasonic waves, which are mechanical waves with a frequency higher than 20 kHz. A great deal of research on the different ways to perform the stages of this surgical procedure and the analysis of the possible side effects of the operation has been published, but there is little information on the technical characteristics, the intensities applied, and the use of ultrasound-emitting (U/S) equipment for cataract removal. More studies on the method and depth of absorption of ultrasonic waves in our visual system when performing the phacoemulsification procedure are needed. It would be advisable for health authorities and medical professionals to develop guidelines for the handling and use of ultrasonic wave-emitting equipment, such as those that exist for ultrasound and physiotherapy. This could help us to reduce undesirable effects after the operation.

show abstract

Diluting 2.5% Viscoadaptive Sodium Hyaluronate to Prevent Postoperative Intraocular Pressure Rise After Phacoemulsification: A Pilot Study

Nusef¹,

Almoosa²,

Wagih³

2023

Cureus

View full text Add to dashboard Cite

The most common complication with intraoperative viscoelastic use is an immediate elevation of intraocular pressure, particularly if the viscoelastic agent remains in the eye, which can cause serious effects. Complications may include severe ocular pain, corneal epithelial edema, and increased risk of anterior ischemic optic neuropathy and retinal artery occlusion. This study aims to find an efficient and safe adjunctive method to decrease the incidence of postoperative intraocular pressure rise. When cohesive viscoelastic agents were unavailable due to the pandemic, we diluted Microvisc 2.5% sodium hyaluronate ophthalmic viscosurgical device by 50% prior to intraocular lens implantation. Twelve eyes are included in this study, which are divided into two groups. The study followed a double-blinded methodology in which the physician and the patient were unaware of what group they were in. The first group (seven patients, seven eyes) was treated using the diluted Microvisc 2.5%, and the second group (five patients, five eyes) was controlled with the undiluted Microvisc 2.5%. The primary variable was intraocular pressure, measured at four different timeline points (baseline, day 1, week 1, and month 1). We found that the technique used had easier irrigation and aspiration with minimal viscoelastic agent left in the bag, leading to a lower postoperative intraocular pressure spike. Analysis was conducted using the Wilcoxon signed rank test, and significance was noted between the two groups on postoperative day 1 (p=0.042). The analysis also included the populations’ comorbidities (hypertension and diabetes) and postoperative outcomes (pain, corneal edema, and visual acuity).

show abstract

Corneal edema recovery after phacoemulsification in type 2 diabetic versus non-diabetic patients

Cited by 3 publications

References 17 publications

Postoperative Corneal Edema After Phacoemulsification

Postoperative Corneal Edema After Phacoemulsification

Phacoemulsification: Proposals for Improvement in Its Application

Diluting 2.5% Viscoadaptive Sodium Hyaluronate to Prevent Postoperative Intraocular Pressure Rise After Phacoemulsification: A Pilot Study

Contact Info

Product

Resources

About