J Korean Ophthalmol Soc > Volume 50(4); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(4):537-541.
DOI: https://doi.org/10.3341/jkos.2009.50.4.537    Published online April 30, 2009.
Comparison Between Bimanual Microincisional Cataract Surgery and Conventional Coaxial Phacoemulsification.
Hyun Kyung Kim, Hyun Soo Lee, Shin Hae Park, Choun Ki Joo
Department of Ophthalmology and visual science, Seoul St. Mary's Hospital, Colleage of Medicine, The Catholic University of Korea, Seoul, Korea. ckjoo@catholic.ac.kr
미세각막절개 양손 백내장 수술과 고전적 백내장 수술의 비교
김현경ㆍ이현수ㆍ박신혜ㆍ주천기
Department of Ophthalmology and visual science, Seoul St. Mary’s Hospital, Colleage of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
PURPOSE
To evaluate corneal endothelial cell changes after conventional coaxial phacoemulsification and bimanual microincision cataract surgery (MICS). METHODS: Forty patients were divided into 2 groups, coaxial phacoemulsification (Group 1, n=20), and MICS (Group 2, n=20). To evaluate corneal endothelial cell changes after coaxial phacoemulsification and bimanual MICS, intraoperative phacoemulsification power and volume of intraoperative irrigation solution (balanced salt solution, BSS(R), Alcon, U.S.A) were measured. Central corneal thickness and endothelial cell count were also evaluated, preoperatively and at 1 week, and 2 months postoperatively. RESULTS: Between the 2 groups, there was no statistically significant difference in intraoperative phacoemulsification power and volume of intraoperative irrigation solution (balanced salt solution, BSS(R), Alcon, U.S.A.) (p>0.05). In addition, there was no statistically significant difference between the 2 groups in endothelial cell count and central corneal thickness (p>0.05). CONCLUSIONS: When comparing bimanual MICS and conventional coaxial phacoemulsification, bimanual MICS appears to have similar endothelial cell changes. In conclusion, MICS has the same safety as compared to coaxial phacoemulsification.
Key Words: Bimual microincisional cataract surgery (Bimanual MICS);Coaxial phacoemulsification;Endothelial cell count;Irrigation solution volume;Phacopower


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