Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery

作     者：Samuele Gigliola Giancarlo Sborgia Alfredo Niro Carmela Palmisano Pasquale Puzo Gianluigi Giuliani Luigi Sborgia Dario Sisto Valentina Pastore Claudio Furino Rossella Donghia Alessandra Sborgia Francesco Boscia Giovanni Alessio 

作者机构：Eye ClinicDepartment of Medical ScienceNeuroscience and Sense OrgansUniversity of BariBari 70124Italy Eye ClinicHospital“SS.Annunziata”ASL TarantoTaranto 74121Italy National Institute of Gastroenterology“S.de Bellis”Research HospitalCastellana Grotte 70013Italy 

出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)

年 卷 期：2021年第14卷第12期

页      面：1868-1875页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：cataract surgery phaco-rolling onehanded phacoemulsification Divide et Conquer femtosecond laser-assisted cataract surgery 

摘      要：AIM:To compare perioperative parameters of one-handed rotational phacoemulsification technique(one-handed phaco-roll)with each of other two techniques,“Divide et Conquerand femtosecond laser-assisted cataract surgery(FLACS)METHODS:In this retrospective and comparative cohort study,eyes with uncomplicated cataract(nuclear density grade 2 to 3)treated routinely with one-handed phacoroll(n=23;Group 1)or“Divide et Conquer(n=23;Group 2)or FLACS(n=23;Group 3)were *** parameters including effective phaco-time(EPt),ultrasound time(USt),aspiration time,surgical time,phacoemulsification(phaco)-power,balanced salt solution(BSS)use,cumulative dissipated energy(CDE)were recorded and *** outcomes including best corrected visual acuity(BCVA),corneal endothelial cell density(ECD),endothelial cell loss(ECL),central corneal thickness(CCT)and central macular thickness(CMT),were assessed and compared pre-operatively and at 1mo after ***:Aspiration and surgical time,and BSS used were lower in Group 1(P0.01)than other ***,phaco-power and CDE were lower in Group 1(P0.05)than Group 2 but not significantly different from Group *** Group 1,USt was lower(P0.05)than Group 2 but higher(P0.05)than Group *** improved in all groups without significant difference between Group 1 and the other *** significant differences regarding all post-operative morphologic outcomes(ECD,ECL,CCT,CMT)were *** clinical complications ***:One-handed phaco-roll seems to be less time-consuming than“Divide et Conquerand FLACS and less energy-consuming than“Divide et Conquer.Furthermore,one-handed phaco-roll seems to have an equal safety profile compared to the other two techniques.