[Comparison of clinical and functional results of conventional and femtosecond laser-assisted cataract phacoemulsification].

Autor:	Malugin BE; S.N. Fyodorov National Medical Research Center 'MNTK 'Eye Microsurgery', 59A Beskudnikovsky Blvd., Moscow, Russian Federation, 127486., Pashtaev NP; Cheboksary branch of S.N. Fyodorov National Medical Research Center 'MNTK 'Eye Microsurgery', 10 Traktorostroitely Pr., Cheboksary, Russian Federation, 428028; Postgraduate Doctors' Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018; Chuvash State University named after I.N. Ulyanov, 15 Moskovskiy Pr., Cheboksary, Russian Federation, 428015., Kulikov IV; S.N. Fyodorov National Medical Research Center 'MNTK 'Eye Microsurgery', 59A Beskudnikovsky Blvd., Moscow, Russian Federation, 127486., Pikusova SM; Postgraduate Doctors' Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018., Krestova IM; Postgraduate Doctors' Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018., Krestov DM; Postgraduate Doctors' Training Institute, 27 M. Sespelya St., Cheboksary, Russian Federation, 428018.
Jazyk:	ruština
Zdroj:	Vestnik oftalmologii [Vestn Oftalmol] 2019; Vol. 135 (5), pp. 54-60.
DOI:	10.17116/oftalma201913505154
Abstrakt:	Purpose: To perform a comparative analysis of ultrasound and hydrodynamic parameters, and the outcomes of femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification cataract surgery (CPCS). Material and Methods: This prospective cohort study included 246 eyes. The first group consisted of 138 patients who underwent FLACS, second group - 108 patients after CPCS. Results: Total ultrasound time was 95.36±47.93 and 113.3±97.71 seconds (p=0.04) in the 1 st and the 2 nd groups, respectively. The duration of torsional ultrasound was 84.72±50.03 seconds in 1 st group (p=0.04) and 113.3±97.71 seconds in the 2 nd group (p=0.04). Aspiration time was 208.3±95.86 seconds in the 1 st group (p=0.04) and 258.43±158.81 seconds in the 2nd group (p=0.04). On the 3-4 th day after the surgery, uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) were significantly better in the 1 st group - 0.62±0.21 (LogMAR 0.20±0.19) and 0.53±0.15 (LogMAR 0.30±0.21) (p=0.01), respectively, compared to the 2 nd group with UDVA of 0.75±0.18 (LogMAR 0.10±0.16) and CDVA of 0.69±0.19 (LogMAR 0.20±0.15) (p=0.04). Central corneal thickness (CCT) was 573.41±33.12 and 632.43±58.30 μm in the 1 st and 2 nd groups, respectively (p=0.020). At 1 month post-op there were no statistically significant differences in UDVA (p=0.17), CDVA (p=0.40) or CCT (p=0.50) between the groups. Conclusion: Compared with CPCS, total ultrasound time (p=0.04), torsional ultrasound time (p=0.04) and aspiration time (p=0.04) were significantly lower in the FLACS group. CCT was significantly lower (p=0.02), while UDVA (p=0.04) and CDVA (p=0.01) were significantly higher in the FLACS group in the early post-operative period (3-4 days after surgery). There were no statistically significant differences in the parameters between the groups 1 month after the surgery.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu