Estudio comparativo entre cirugía de catarata por microincisión coaxial y facoemulsificación estándar

Capella, María José; Barraquer, Elena

doi:10.1016/j.oftal.2010.09.004

Cited by 6 publications

(15 citation statements)

References 6 publications

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“…Our findings support the results of a recent comparative study of coaxial microincision cataract surgery and standard phacoemulsification (Capella & Barraquer 2010). In this study, an endothelial cell loss of 7.7% was observed in the conventional phacoemulsification group and of 4.98% in the coaxial mircoincision group at 3 months after surgery.…”

Section: Discussionsupporting

confidence: 92%

Impact of low versus high fluidic settings on the efficacy and safety of phacoemulsification

Schriefl¹,

Stifter²,

Menapace³

2013

Acta Ophthalmologica

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. Purpose: To compare intraoperative efficiency and postoperative outcomes of cataract surgery with low and high fluidic settings. Methods: In this prospective, randomized, single‐blinded study, 114 eyes of 57 patients were operated with low fluidic settings for one eye (group I) and high fluidic settings for the other eye (group II). Efficiency was judged as metred surgery time, effective phacoemulsification time (EPT) and the amount of balanced salt solution used. Visual outcome and endothelial cell count were determined 1 week and 18 months postoperatively. Results: The overall effective phacoemulsification energy was statistically significantly lower (p = 0.003) in group II than in group I. Conquest of the nuclei was achieved with about two‐thirds of the energy needed in group I, with 6.59 ± 4.79 effective ultrasound energy compared with 3.99 ± 3.18 (p = 0.001). Overall, about 12% more solution was used in group II than in group I. Median visual acuity was 1.0 for both groups 18 months after surgery. The mean endothelial cell loss was 5.0% in eyes in group I compared with 6.3% in eyes in group II (p > 0.5). Conclusion: Switching from low fluidic settings with a conventional coaxial 20G phacoemulsification tip to higher fluidic settings with a microcoaxial phaco tip statistically significantly decreases EPT. As only marginally more solution was used with the higher aspiration flow, occlusion must be accomplished more often with high than with low fluidics. Aspiration of the quadrants was therefore more efficient with high fluidic settings. The enhanced pump speed did not result in more tissue damage.

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Section: Discussionsupporting

confidence: 92%

Impact of low versus high fluidic settings on the efficacy and safety of phacoemulsification

Schriefl¹,

Stifter²,

Menapace³

2013

Acta Ophthalmologica

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“…One trial was conducted in Bosnia and Herzegovina (Musanovic 2012), 13 trials in China (Hui 2016; Li 2016; Lin 2013; Luo 2012; Mao 2008; Shan 2016; Shi 2013; Wang 2009; Yao 2008; Yao 2011; Yu 2016; Zhang 2014; Zhu 2014), one trial in France (Febbraro 2015), one trial in India (Vasavada 2013a), one trial in Italy (Mastropasqua 2011), five trials in Korea (Hwang 2008; Hwang 2016; Jeong 2013; Li 2011; Moon 2011), two trials in Spain (Capella 2010; Morcillo-Laiz 2009), one trial in Switzerland (Dosso 2008), and one trial in Turkey (Can 2010). …”

Section: Resultsmentioning

confidence: 99%

“…When the study investigators reported the method of randomization, we judged the study to be at low risk of selection bias. We judged Capella 2010 to be at high risk of bias because it was reported as a “prospective and randomised study” (p269), but the authors noted through email correspondence that the treatment assignment was by “alternating one-by-one.”…”

Section: Resultsmentioning

confidence: 99%

“…We judged Capella 2010 to have inadequate allocation concealment; if the treatment was assigned by alternating one-by-one, participants might be able to guess their or the next treatment assignment. We judged Vasavada 2013a to have sufficient allocation concealment as the authors had informed us through email correspondence that the random number sequence was stored in a sequentially number and sealed envelope in a dedicated box in the operating room.…”

Section: Resultsmentioning

confidence: 99%

“…None of the included trials had assigned individual eyes of a participant to different interventions (standard phacoemulsification, C-MICS, or B-MICS). Sample sizes in some included trials suggested paired-eye trials because the number of eyes included was twice the number of participants (Capella 2010; Hwang 2016; Musanovic 2012; Zhu 2014). We referred to Chapter 16 of the Cochrane Handbook for Systematic Reviews of Interventions as a guide for intraperson correlation between eyes (Higgins 2011b).…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Different-sized incisions for phacoemulsification in age-related cataract

Jin

Chen

Law

et al. 2017

Cochrane Database of Systematic Reviews

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Changes in Corneal Aberrations in Patients With Cataract Surgery With Toric Lens Implant: An Exploratory Review

Assis,

Montaño,

Quintero

et al. 2023

Preprint

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IntroductionThe cataract is one of the main causes of visual alterations, which is normally treated with surgery since it improves the visual acuity of the patients, the object of the present investigation is to synthesize evidence on how the surgical intervention affects or changes the corneal aberrations.Methodologyconducted an exploratory review of the literature, observational studies on changes in corneal aberrations after cataract surgery with toric lens implant, using Pubmed, Google Scholar, Lilacs, Scopus, and Science Direct, searching and selecting articles from blindly and independently, following the PRISMA methodology.ResultsThe body of evidence selected was 4 articles published in a 6-year window, between 2011 and 2016. The average age of the surgically operated population was 65.3 ± 7.7 years, while the proportion according to sex there was a similar and greater change in corneal aberrations due to coma and trefoil.Conclusionssurgery with an incision equal to or less than 2.2 mm induces slight changes in the aberration of the total cornea, which increase before in eyes with a high pre-existence of corneal astigmatism and it is independent if the lens is toric or not.

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Estudio comparativo entre cirugía de catarata por microincisión coaxial y facoemulsificación estándar

Cited by 6 publications

References 6 publications

Impact of low versus high fluidic settings on the efficacy and safety of phacoemulsification

Impact of low versus high fluidic settings on the efficacy and safety of phacoemulsification

Different-sized incisions for phacoemulsification in age-related cataract

Changes in Corneal Aberrations in Patients With Cataract Surgery With Toric Lens Implant: An Exploratory Review

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