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Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery

查看全文 作　　者：Samuele [1]Gigliola;Giancarlo [1]Sborgia;Alfredo [2]Niro;Carmela [1]Palmisano;Pasquale [1]Puzo;Gianluigi [1]Giuliani;Luigi [1]Sborgia;Dario [1]Sisto;Valentina [1]Pastore;Claudio [1]Furino;Rossella [3]Donghia;Alessandra [1]Sborgia;Francesco [1]Boscia;Giovanni [1]Alessio 高影响力作者 机构地区：[1]Eye Clinic,Department of Medical Science,Neuroscience and Sense Organs,University of Bari,Bari 70124,Italy;[2]Eye Clinic,Hospital“SS.Annunziata”,ASL Taranto,Taranto 74121,Italy;[3]National Institute of Gastroenterology“S.de Bellis”Research Hospital,Castellana Grotte 70013,Italy高影响力机构 出　　处：《International Journal of Ophthalmology(English edition)》索引2021年第14卷第12期,共8页高影响力期刊 摘　　要：AIM:To compare perioperative parameters of one-handed rotational phacoemulsification technique(one-handed phaco-roll)with each of other two techniques,“Divide et Conquer”and femtosecond laser-assisted cataract surgery(FLACS)METHODS:In this retrospective and comparative cohort study,eyes with uncomplicated cataract(nuclear density grade 2 to 3)treated routinely with one-handed phacoroll(n=23;Group 1)or“Divide et Conquer”(n=23;Group 2)or FLACS(n=23;Group 3)were enrolled.Intraoperative parameters including effective phaco-time(EPt),ultrasound time(USt),aspiration time,surgical time,phacoemulsification(phaco)-power,balanced salt solution(BSS)use,cumulative dissipated energy(CDE)were recorded and compared.Clinical outcomes including best corrected visual acuity(BCVA),corneal endothelial cell density(ECD),endothelial cell loss(ECL),central corneal thickness(CCT)and central macular thickness(CMT),were assessed and compared pre-operatively and at 1mo after surgery.RESULTS:Aspiration and surgical time,and BSS used were lower in Group 1(P<0.01)than other groups.EPt,phaco-power and CDE were lower in Group 1(P<0.05)than Group 2 but not significantly different from Group 3.In Group 1,USt was lower(P<0.05)than Group 2 but higher(P<0.05)than Group 3.BCVA improved in all groups without significant difference between Group 1 and the other ones.No significant differences regarding all post-operative morphologic outcomes(ECD,ECL,CCT,CMT)were reported.No clinical complications occurred.CONCLUSION:One-handed phaco-roll seems to be less time-consuming than“Divide et Conquer”and FLACS and less energy-consuming than“Divide et Conquer”.Furthermore,one-handed phaco-roll seems to have an equal safety profile compared to the other two techniques. 关 键 词：cataract surgery phaco-rolling onehanded phacoemulsification Divide et Conquer femtosecond laser-assisted cataract surgery
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