Comparison of Femtosecond Laser-Assisted Cataract Surgery and Conventional Phacoemulsification on Endothelial Cell Density When Using Torsional Modality

Autor:	Noriyuki Sasaki, Yoshitaka Oka, Valentine P Injev
Rok vydání:	2021
Předmět:	torsional phaco medicine.medical_specialty Distance visual acuity business.industry medicine.medical_treatment endothelial cell loss Repeated measures design Clinical Ophthalmology Phacoemulsification Cataract surgery Laser assisted Surgical methods Endothelial cell density Ophthalmology Medicine cumulative dissipated energy business LenSx Original Research Conventional technique
Zdroj:	Clinical Ophthalmology (Auckland, N.Z.)
ISSN:	1177-5483
DOI:	10.2147/opth.s329935
Popis:	Purpose To compare the effects of femtosecond laser assisted cataract surgery (FLACS) and manual phacoemulsification on cumulative dissipated energy (CDE), torsional amplitude, and endothelial cell density (ECD). Patients and Methods This prospective, randomized study was conducted at Oka Eye Clinic (Fukuoka, Japan). Surgeries were performed using FLACS (with LenSx) or conventional technique in adults ≥20 years with grade 2–4 cataracts. Visits included preoperative, surgery day, and 5 postoperative visits (days 1, 4–10, 20–40, 60–120, and 150–210). Primary endpoint was CDE. Secondary endpoints included ECD percent change at day 150–210 versus preoperative visit and average torsional amplitude on surgery day. Exploratory endpoints included central corneal thickness and corrected distance visual acuity (CDVA). Superiority of FLACS to conventional technique was evaluated using t-tests based on a mixed model for repeated measures. Results Full analysis set included 53 eyes per group. Mean cataract grade was 2.92±0.58 in FLACS and 2.94±0.57 in conventional group. FLACS versus conventional method had significantly lower mean CDE (0.213±0.334 versus 1.718±0.898%-seconds, respectively; P Video Abstract Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/xzalrupRtlw
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::eca97fd167e650bc888222c4991e7644 https://doi.org/10.2147/opth.s329935 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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