Cargando…

Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction

AIM: To evaluate the efficacy and safety of phacoemulsification using torsional modality with different parameter settings for hard nucleus cataract extraction. DESIGN: A prospective, randomised clinical study. METHODS: A clinical practice study conducted at the Cataract Service, Zhongshan Ophthalmi...

Descripción completa

Detalles Bibliográficos
Autores principales: Zeng, M, Liu, X, Liu, Y, Xia, Y, Luo, L, Yuan, Z, Zeng, Y
Formato: Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569137/
https://www.ncbi.nlm.nih.gov/pubmed/18567650
http://dx.doi.org/10.1136/bjo.2007.128504
_version_ 1782160074425237504
author Zeng, M
Liu, X
Liu, Y
Xia, Y
Luo, L
Yuan, Z
Zeng, Y
Liu, Y
author_facet Zeng, M
Liu, X
Liu, Y
Xia, Y
Luo, L
Yuan, Z
Zeng, Y
Liu, Y
author_sort Zeng, M
collection PubMed
description AIM: To evaluate the efficacy and safety of phacoemulsification using torsional modality with different parameter settings for hard nucleus cataract extraction. DESIGN: A prospective, randomised clinical study. METHODS: A clinical practice study conducted at the Cataract Service, Zhongshan Ophthalmic Center, Sun-Yat-Sen University, and Guangzhou. One eye each from 198 consecutive patients with cataract density grade IV according to the Emery–Little system classification system, requiring phacoemulsification and intraocular lens implantation, was included. Eyes were randomly assigned to the Linear Torsional combined with Ultrasound power group (Linear Tor+US group, n = 66), 100% Fixed Torsional group (Fixed Tor group, n = 65) and conventional Ultrasound burst group (US group, n = 67). All surgeries were performed by a single experienced surgeon and outcomes evaluated by another surgeon masked to treatment. Intraoperative parameters were Ultrasound Time (UST), Cumulative Dissipated Energy (CDE) and surgical complications. Patients were examined on post-op days 1, 7 and 30. Postoperative outcomes were final best corrected visual acuity (BCVA), average central and incisional corneal thickness and central endothelial cell counts. RESULTS: The mean UST was lower in the Fixed Tor group than in the US group and in the Lin US+Tor group (p⩽0.0001). The mean CDE was lower in the Lin Tor+US group and in the Fixed Tor group than in the US group (p⩽0.0001). Comparing with the two Tor group, the US group had a lower average BCVA on post-op 1, 7 (p⩽0.0001) and 30 (p>0.01), greater average central corneal and incisional thickness on days 1, 7 (p⩽0.0001) and 30 (p>0.01), and higher average corneal endothelial cell losses on day 7 and 30 days (p⩽0.0001). CONCLUSIONS: Torsional combined with ultrasound power or high fixed torsional amplitude can yield more effective hard nucleus phacoemulsification than conventional ultrasound modality.
format Text
id pubmed-2569137
institution National Center for Biotechnology Information
language English
publishDate 2008
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-25691372008-10-24 Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction Zeng, M Liu, X Liu, Y Xia, Y Luo, L Yuan, Z Zeng, Y Liu, Y Br J Ophthalmol Original Articles AIM: To evaluate the efficacy and safety of phacoemulsification using torsional modality with different parameter settings for hard nucleus cataract extraction. DESIGN: A prospective, randomised clinical study. METHODS: A clinical practice study conducted at the Cataract Service, Zhongshan Ophthalmic Center, Sun-Yat-Sen University, and Guangzhou. One eye each from 198 consecutive patients with cataract density grade IV according to the Emery–Little system classification system, requiring phacoemulsification and intraocular lens implantation, was included. Eyes were randomly assigned to the Linear Torsional combined with Ultrasound power group (Linear Tor+US group, n = 66), 100% Fixed Torsional group (Fixed Tor group, n = 65) and conventional Ultrasound burst group (US group, n = 67). All surgeries were performed by a single experienced surgeon and outcomes evaluated by another surgeon masked to treatment. Intraoperative parameters were Ultrasound Time (UST), Cumulative Dissipated Energy (CDE) and surgical complications. Patients were examined on post-op days 1, 7 and 30. Postoperative outcomes were final best corrected visual acuity (BCVA), average central and incisional corneal thickness and central endothelial cell counts. RESULTS: The mean UST was lower in the Fixed Tor group than in the US group and in the Lin US+Tor group (p⩽0.0001). The mean CDE was lower in the Lin Tor+US group and in the Fixed Tor group than in the US group (p⩽0.0001). Comparing with the two Tor group, the US group had a lower average BCVA on post-op 1, 7 (p⩽0.0001) and 30 (p>0.01), greater average central corneal and incisional thickness on days 1, 7 (p⩽0.0001) and 30 (p>0.01), and higher average corneal endothelial cell losses on day 7 and 30 days (p⩽0.0001). CONCLUSIONS: Torsional combined with ultrasound power or high fixed torsional amplitude can yield more effective hard nucleus phacoemulsification than conventional ultrasound modality. BMJ Publishing Group 2008-08 2008-06-20 /pmc/articles/PMC2569137/ /pubmed/18567650 http://dx.doi.org/10.1136/bjo.2007.128504 Text en © Zeng et al 2008 http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Zeng, M
Liu, X
Liu, Y
Xia, Y
Luo, L
Yuan, Z
Zeng, Y
Liu, Y
Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction
title Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction
title_full Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction
title_fullStr Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction
title_full_unstemmed Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction
title_short Torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction
title_sort torsional ultrasound modality for hard nucleus phacoemulsification cataract extraction
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569137/
https://www.ncbi.nlm.nih.gov/pubmed/18567650
http://dx.doi.org/10.1136/bjo.2007.128504
work_keys_str_mv AT zengm torsionalultrasoundmodalityforhardnucleusphacoemulsificationcataractextraction
AT liux torsionalultrasoundmodalityforhardnucleusphacoemulsificationcataractextraction
AT liuy torsionalultrasoundmodalityforhardnucleusphacoemulsificationcataractextraction
AT xiay torsionalultrasoundmodalityforhardnucleusphacoemulsificationcataractextraction
AT luol torsionalultrasoundmodalityforhardnucleusphacoemulsificationcataractextraction
AT yuanz torsionalultrasoundmodalityforhardnucleusphacoemulsificationcataractextraction
AT zengy torsionalultrasoundmodalityforhardnucleusphacoemulsificationcataractextraction
AT liuy torsionalultrasoundmodalityforhardnucleusphacoemulsificationcataractextraction