Cataract surgery using the bimanual phacoemulsification technique with an Accurus system and Mackool microphaco tip
| Autor: | Takao Tanaka, Masahiko Usui, Satomi Koshika |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Eye disease Visual Acuity Cell Count Ocular tissue Lens Implantation Intraocular Ophthalmology medicine Humans Intraocular Pressure Aged Best corrected visual acuity Phacoemulsification business.industry Endothelium Corneal Ultrasound Significant difference Cataract surgery medicine.disease Sensory Systems Surgery Treatment Outcome Female business Bimanual phacoemulsification |
| Zdroj: | Journal of Cataract and Refractive Surgery. 33:1770-1774 |
| ISSN: | 0886-3350 |
| DOI: | 10.1016/j.jcrs.2007.06.021 |
| Popis: | Purpose To investigate the safety and effectiveness of the Accurus vitreoretinal and phacoemulsification system (Alcon, Inc.) for bimanual phacoemulsification surgery. Setting Kosei Chuo Hospital, Tokyo, Japan. Methods Phacoemulsification for age-related cataract was performed using a bimanual technique in 55 eyes and a coaxial technique in 31 eyes. The Accurus system with a venturi pump and a sleeveless ultrasonic tip or a Mackool microphaco tip was used in all cases. The 2 techniques were compared. In bimanual phacoemulsification, the 2 tips were evaluated to determine whether either reduced ocular tissue impairment. Results The mean best corrected visual acuity 1 day after the surgery was 20/20 in both groups. There was no significant difference between the bimanual group and coaxial group except in ultrasound output (bimanual 22%, coaxial 28%; P = .01). Iris impairment was observed only in the bimanual group but was reduced by the use of the Mackool sleeved microphaco tip. Conclusion Bimanual phacoemulsification for cataract surgery using the Accurus system with a venturi pump and a Mackool microphaco tip was safe and effective and may provide a means of performing combined or successive cataract and vitreoretinal surgery. |
| Databáze: | OpenAIRE |
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