| Incidence of Posterior Capsular Opacification Based on Low and High Fluid-dynamic Parameters. |
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Yun Hyup Na, Joo Youn Shin, Jong Hyun Lee, Jin Hyoung Kim, Do Hyung Lee |
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Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. eyedr0823@hotmail.com |
| 높거나 낮은 유체 역동학 지표에 따른 백내장수술 후 수정체 후낭혼탁 발생 정도의 비교 |
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나윤협⋅신주연⋅이종현⋅김진형⋅이도형 |
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인제대학교 의과대학 일산백병원 안과학교실 |
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| Abstract |
PURPOSE
To compare the incidence of posterior capsular opacification (PCO) based on low and high fluid-dynamic parameters during cataract surgery and evaluate the importance of these findings. METHODS: This retrospective study included 125 eyes in 73 patients with senile cataract who received a cataract surgery between September 2013 and March 2014. Patients were divided into 2 groups: those with low (vacuum: 180 mm Hg, aspiration flow: 18 mL/min, bottle height: 55 cm) and high (vacuum: 400 mm Hg, aspiration flow: 22 mL/min, bottle height: 90 cm) fluidic parameters during the nucleus was removal. We measured the total surgery time, ultrasound time, and balanced salt solution consumption during phacoemulsification. Best corrected visual acuity (BCVA), PCO score, PCO percentage and severity were measured at 3, 6 and 12 months postoperatively. Endothelial cell density (ECD) was measured preoperatively and 12 months postoperatively. RESULTS: The study included 20 eyes of 13 patients with low parameters and 20 eyes of 15 patients with high parameters. There was no statistically significant difference in the mean total surgery time, ultrasound time or fluid consumption between the two groups. BCVA and ECD were not significantly different between the two groups during the postoperative follow-up. PCO score, percentage and severity were higher in the low parameter group at 3, 6 and 12 months postoperatively. CONCLUSIONS: Surgery with low fluid-dynamic parameters is equally effective as with high parameters in terms of surgical time and postoperative BCVA. However, the incidence of PCO was higher in the low fluid-dynamic parameter group up to 12 months. Surgical efforts to reduce remnant lens epithelial cells are needed during low fluidic-dynamic parameter surgery. |
| Key Words:
Cataract;Fluid-dynamic parameters;Phacodynamics;Phacoemulsification;Posterior capsular opacification |
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