Comparing surgical efficiencies between phacoemulsification systems: a single surgeon retrospective study of 2000 eyes
datacite.rights | http://purl.org/coar/access_right/c_abf2 | |
dc.contributor.author | Escaf-Jaraba, Luis | |
dc.contributor.author | Escobar-DiazGranados, Jorge | |
dc.contributor.author | Valdemarín, Bartolomé | |
dc.date.accessioned | 2024-07-12T14:53:08Z | |
dc.date.available | 2024-07-12T14:53:08Z | |
dc.date.issued | 2022 | |
dc.description.abstract | AIM: To compare under similar conditions intraoperative surgical efficiencies metrics between an active fluidics and a gravity based phacoemulsification systems. METHODS: Adult patients who were diagnosed with a cataract that compromised visual acuity inferior to 20/40 were included in the study. Patients were excluded from the study if they had a history of severe retinal disorders, clinically significant corneal endothelial dystrophy or history of corneal disease. All phacoemulsification surgeries were performed by a single surgeon. Both phacoemulsification systems used the 0.9 mm 45-degree aspiration bypass system Intrepid Balanced tip and the 0.9 mm Intrepid Ultra infusion sleeve. All cataracts were classified using the Lens Opacities Classification System III, cumulative dissipated energy (CDE) and aspiration fluids were measured in each surgery. RESULTS: Totally 2000 eyes were included in the study. Phacoemulsification was performed in 1000 (50%) eyes with an active fluid dynamics system and in 1000 (50%) eyes with a gravity-based fluidic system. Mean CDE until fracture of the lens was 1.1 and 1.9 percent-seconds and total mean CDE used was 5.6 and 7.2 percent-seconds using an active fluidics dynamics system and gravity-based fluidic system, respectively (P<0.001). Mean aspiration fluids used were 70 mL using an active fluidics dynamics system and 84 mL using a gravity-based fluidic system (P<0.001). CONCLUSION: This study evidences that surgeries performed under similar conditions (same surgeon, phaco tip and sleeve) with the active fluidics dynamics system required significantly lower CDE and aspiration fluids. | eng |
dc.format.mimetype | ||
dc.identifier.citation | Escaf-Jaraba L, Escobar-DiazGranados J, Valdemarín B. Comparing surgical efficiencies between phacoemulsification systems: a single surgeon retrospective study of 2000 eyes. Int J Ophthalmol 2022;15(4):581-585 | eng |
dc.identifier.doi | 10.18240/ijo.2022.04.09 | |
dc.identifier.issn | 2222-3959 (Impreso) | |
dc.identifier.issn | 2227-4898 (En linea) | |
dc.identifier.uri | https://hdl.handle.net/20.500.12442/14823 | |
dc.identifier.url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8995727/ | |
dc.language.iso | eng | |
dc.publisher | Ediciones Universidad Simón Bolívar | spa |
dc.publisher | Facultad Ciencias de la Salud | spa |
dc.publisher | National Library of Medicine | eng |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
dc.source | International Journal of Ophthalmology | eng |
dc.source | Int J Ophthalmol | eng |
dc.source | Vol. 15 No. 4 (2022) | |
dc.subject | Ophthalmology | eng |
dc.subject | Phacoemulsification | eng |
dc.subject | Surgical efficiencies | eng |
dc.subject | Cumulative dissipated energy | eng |
dc.subject | Aspiration fluids | eng |
dc.terms.references | Kelman CD, Kwitko ML. The History of Modern Cataract Surgery. Hague, Netherlands: Kugler Publications; 1998. | eng |
dc.terms.references | Jensen JD, Shi DS, Robinson MS, Kramer GD, Zaugg B, Stagg BC, Pettey JH, Barlow WR Jr, Olson RJ. Torsional power study using CENTURION phacoemulsification technology. Clin Exp Ophthalmol 2016;44(8):710-713. | eng |
dc.terms.references | WHO. Global data on visual impairments 2010. World Health Organization http://www.whoint/blindness/GLOBALDATAFINAL. | eng |
dc.terms.references | Salman S, Mourad M, ElGhazawy R, Rihan R. Comparative study of conventional versus torsional phacoemulsification in management of hard nucleus. Journal of Egyptian Ophthalmological Society 2021;114(1):1-12. | eng |
dc.terms.references | Walkow T, Anders N, Klebe S. Endothelial cell loss after phacoemulsification: relation to preoperative and intraoperative parameters. J Cataract Refract Surg 2000;26(5):727-732. | eng |
dc.terms.references | Chen M, Anderson E, Hill G, Chen JJ, Patrianakos T. Comparison of cumulative dissipated energy between the Infiniti and Centurion phacoemulsification systems. Clin Ophthalmol 2015;9:1367-1372. | eng |
dc.terms.references | Nicoli CM, Dimalanta R, Miller KM. Experimental anterior chamber maintenance in active versus passive phacoemulsification fluidics systems. J Cataract Refract Surg 2016;42(1):157-162. | eng |
dc.terms.references | de Giacinto C, D’Aloisio R, Bova A, Candian T, Perrotta AA, Tognetto D. Intraocular pressure changes during femtosecond laser-assisted cataract surgery: a comparison between two different patient interfaces. J Ophthalmol 2019;2019:5986895. | eng |
dc.terms.references | Chylack LT Jr, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, Friend J, McCarthy D, Wu SY. The lens opacities classification system III. the longitudinal study of cataract study group. Arch Ophthalmol 1993;111(6):831-836. | eng |
dc.terms.references | Solomon KD, Lorente R, Fanney D, Cionni RJ. Clinical study using a new phacoemulsification system with surgical intraocular pressure control. J Cataract Refract Surg 2016;42(4):542-549. | eng |
dc.terms.references | Lawrence JO, Chu Luan N, Eugene W, Samuel SYW, Ian CF. Prospective study of Centurion® versus Infiniti® phacoemulsification systems: surgical and visual outcomes. Int J Ophthalmol 2017;10(11): 1698-1702 | eng |
dc.terms.references | Gonzalez-Salinas R, Garza-Leon M, Saenz-de-Viteri M, Solis-S JC, Gulias-Cañizo R, Quiroz-Mercado H. Comparison of cumulative dissipated energy delivered by active-fluidic pressure control phacoemulsification system versus gravity-fluidics. Int Ophthalmol 2018;38(5):1907-1913. | eng |
dc.terms.references | Hayashi K, Hayashi H, Nakao F, Hayashi F. Risk factors for corneal endothelial injury during phacoemulsification. J Cataract Refract Surg 1996;22(8):1079-1084. | eng |
dc.terms.references | Pirazzoli G, D’Eliseo D, Ziosi M, Acciarri R. Effects of phacoemulsification time on the corneal endothelium using phacofracture and phaco chop techniques. J Cataract Refract Surg 1996;22(7):967-969. | eng |
dc.terms.references | Davison JA, Chylack LT. Clinical application of the lens opacities classification system III in the performance of phacoemulsification. J Cataract Refract Surg 2003;29(1):138-145. | eng |
dc.terms.references | Kaur M, Bhai N, Titiyal JS. Risk factors for complications during phacoemulsification cataract surgery. Expert Rev Ophthalmol 2020;15(5):303-312. | eng |
dc.terms.references | Gupta M, Ram J, Jain A, Sukhija J, Chaudhary M. Correlation of nuclear density using the Lens Opacity Classification System III versus Scheimpflug imaging with phacoemulsification parameters. J Cataract Refract Surg 2013;39(12):1818-1823. | eng |
dc.terms.references | Wan Y, Wang YH, Zhao LM, et al. The association between socioeconomic factors and visual function among patients with agerelated cataracts. J Ophthalmol 2020;2020:7236214. | eng |
dc.title | Comparing surgical efficiencies between phacoemulsification systems: a single surgeon retrospective study of 2000 eyes | eng |
dc.type.driver | info:eu-repo/semantics/other | |
dc.type.spa | Otros | |
oaire.version | info:eu-repo/semantics/publishedVersion | |
sb.programa | Especialización en Oftalmología | spa |
sb.sede | Sede Barranquilla | spa |