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Cet abstract a été assigné à session BSCRS: Cataract Free papers
TitrePhaco-emulsification without any use of visco-elastics
Abstract Nr.162
ButTo evaluate a new method for cataract removal without the use of any visco-elastics.
Méthodes50 eyes of 50 patients had cataractsurgery using a new technique for cataract removal (group I). Incision, continuous circular capsulorhexis and hydrodissection was done under continuous irrigation through 1.2 mm micro-incisions. Subsequent micro-incision phaco-emulsification was done or a third 2.6 mm incision was created for traditional phaco-emulsifciation. An intra-ocular lens (IOL) was inserted under continuous irrigation. The whole procedure was done using no visco-elastic devices. 50 control eyes had traditional phaco-emulsificationwith the use of dispersive and non-dispersive visco-elastics (group II). Both groups were compared.
RésultatsGroup I showed 4 small anterior capsulorhexis of less than 4.5 mm and group II had one floppy iris. No other intra-operative complication was encountered. All patients recovered berst corrected visual acuity of 20/25 or better. Mean surgical time was 1.5 min less in group I. 24%of eyes in group II showed IOP-spike of more than 21 mm Hg on day 1 compared to 8% in group I.
ConclusionPhaco-emùulsification using no visco-elastics is a safe procedure with a defenite learning curve. It reduces the costs of the procedure as well as surgery time without compromising safety of surgery. Leaving no visco-elastics inside the eye minimised the chance of post-operative intra-ocular pressure spikes.
Auteur 1
NomSALLET
InitialesG
InstitutALGEMEEN STEDELIJK ZIEKENHUIS
VilleAALST
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