263 Phacoémulsification et implantation sans utiliser une substance visco-élastique : résultat clinique, sur le nombre de cellules endothéliales et leur morphologie ainsi que sur la pression intraoculaire - 14/05/09
Phakoemulsification and IOL-Implantation without viscoelastic: clinical outcome, endothelial cell counts and morphology, intraocular pressure
Correspondance.
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Résumé |
But |
The modern standard of cataract surgery is phacoemulsification with implantation in the bag. Phacoemulsification and implantation of a foldable IOL are currently possible without viscoelastics. The aim of the study is to investigate surgery without viscoelastics regarding complications and endothelial cell loss.
Objectifs et Méthodes |
In a prospective, randomised and masked study 126 patients were enrolled. Parameters studied were surgery safety, preoperative and postoperative IOP, corneal endothelial cell changes with and without viscoelastics.
Résultats |
In the BSS group at one months postoperatively a mean endothelcell loss of 106-226 cells/mm2 (corresponding 4.5%) and in the Healon group of 122-207 cells/mm2 (corresponding to a loss of 5.3%) were find out.
Discussion |
Data analysis showed no significant difference between the groups. Likewise no significant difference was seen regarding cell size, cell shape and IOP pre- and postoperatively. A significant correlation was observed between patient age and endothelial cell loss.
Conclusion |
The phacoemulsification technique can be performed with viscoelastics or without, under continous AC irrigation, with the same level of safety regarding endothelial cell damage.
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Vol 32 - N° S1
P. 1S89 - avril 2009 Retour au numéro
Article précédent
- 262 Implants ICL Toriques et Sphériques pour la Correction des fortes myopies avec astigmatisme
- O. Prisant, T. Guedj
- 264 Reconstruction naviguée du segment antérieur du globe oculaire par échographie haute fréquence
- M. Lamard, P.M. Josselin, B. Cochener
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