Saratov JOURNAL of Medical and Scientific Research

Clinical performance of system for ultrasonic cortex aspiration during phacoemulsification

Year: 2018, volume 14 Issue: №4 Pages: 811-815
Heading: Ophtalmology Article type: Original article
Authors: Aznabaev В.М., Dibaev T.I., Mukhamadeev T.R., Idrisova G.M.
Organization: Bashkir State Medical University of the Russian Health Care, ZAO Optimedservis
Summary:

Purpose: to study the performance and safety of the use of system for cortex aspiration with the possibility of additional dosed low power ultrasound during phacoemulsification. Material and Methods. The comparative evaluation of developed system for cortex aspiration with the possibility of additional dosed low power ultrasound (main group, n=36, ophthalmological surgical platform Optimed Profi) and the traditional system for cortex aspiration (control group, n=40, ophthalmological surgical platform Centurion Vision System) were performed. Results. Using the system for cortex aspiration decreases mean time of cortex aspiration. In the main group the mean time of cortex aspiration was 72.6±24.3 s, in the control group 93.9±48.0 s (p<0.05). Intraoperative complications were not observed in the main group. Posterior capsule rupture was detected during the cortex aspiration in 1 patient (2.5%) in the control group. Conclusion. The system for cortex aspiration with the possibility of additional dosed low power ultrasound allows decrease the time of cortex aspiration, to create conditions for a safer removal of cortex, compared with traditional technology.

Bibliography:
1 Aznabaev BM, Dibaev Tl, Mukhamadeev TR, et al. Modern view on irrigation and aspiration of cortical massesduring phacoemulsification. Medical Bulletin of Bashkortostan 2018; 13 (1): 102-5
2 Aznabaev BM. Ultrasonic cataract surgery — phacoemulsification. Moscow: Avgust Borg, 2016; 144 p.
4 Kanyukov VN, Gorbunov AA. Modification of ultrasonic phacoemulsification technique in patients with dense nuclear cataracts. Sovremennye tekhnologii kataraktalnoy i refraktsionnoy khirurgii 2008 URL: http://www.eyepress.ru/ar-ticle.aspx?6192 (25 December 2018)
5 Krivko SV, Tereshchenko YuA, Sidorenko TK, et al. Analysis of the causes of the posterior capsule rupture of the lens during the phacoemulsification of cataract by young surgeons. Sovremennye tekhnologii v oftalmologii 2014; (2): 29-30
6 Gimbel HV, Sun R, Ferensowicz M, et al. Intraoperative management of posterior capsule tears in phacoemulsification and intraocular lens implantation. Ophthalmology 2001; 108: 2186-9
7 Thanigasalam T, Sahoo S, AN MM. Posterior Capsule Rupture With / Wthout Vitreous Loss During Phacoemulsification in a Hospital in Malaysia. Asia Рас J Ophthalmol 2015; (7): 166-70
8 Baradaran-Rafii A, Rahmati-Kamel M, Eslani M, et al. Effect of hydrodynamic parameters on corneal endothelial cell loss after phacoemulsification. J Cataract Refract Surg 2009; 35 (4): 732-37
9 Nayak B, Shukla R. Effect on corneal endothelial cell loss during phacoemulsification: fortified balanced salt solution versus ringer lactate. J Cataract Refract Surg 2012; (38): 1552-8
10 Aznabaev BM, Mukhamadeev TR, Dibaev Tl. Optical coherence tomography + angiography of the eye. Moscow: Avgust Borg, 2015; 248 p.
11 Federal clinical guidelines for the provision of eye care for patients with age-related cataracts. Expert Council on the problem of cataract surgical treatment / Interregional Association of Ophthalmologist. Moscow: Ophthalmology, 2015; 32 p.
12 Aznabaev ВМ, Mukhamadeev TR, Dibaev Tl, et al. Method of aspiration of cortical masses and device for its implementation: patent application (RF), №2017143868; 2017
13 Aznabaev ВМ, Dibaev Tl, Mukhamadeev TR, et al. Evaluation the effectiveness of a new system for cortex removal during phacoemulsification in an experiment. Sovremennye tekh-nologii v oftalmologii 2018; (5): 12-4
14 Osher RH. Shark fin: a new of thermal injury. J Cataract Refract Surg 2005; 313): 640-2
15 Smetankin IG. The First Experience of Application of an Optic Coherent Tomography for Evaluation of an Operative Wound after Cataract Phacoemulsification. Meditsinskaya vizualizatsiya 2009; (3): 114-8.

AttachmentSize
2018_4-2_811-815.pdf636.91 KB

No votes yet