Comparison of OVD and BSS for Maintaining the Anterior Chamber during IOL Implantation
Korean Journal of Ophthalmology
;
: 15-21, 2011.
Article
in English
| WPRIM
| ID: wpr-121943
ABSTRACT
PURPOSE:
To compare surgical results between conventional intraocular lens (IOL) implantation using an ophthalmic viscosurgical device (OVD) and IOL implantation using a balanced salt solution (BSS) after irrigation/aspiration (I/A) of the lens cortex.METHODS:
A randomized prospective study was conducted on 62 patients who underwent cataract surgery. Following completion of conventional I/A of the lens cortex, we divided patients into two groups according to whether or not BSS was used. In group A (n = 31), the anterior chamber and the capsular bag were completely filled with an OVD before IOL implantation. On the other hand, in group B (n = 31), BSS was irrigated into the anterior chamber through a previous side port during IOL implantation. Surgical results were compared between the two groups.RESULTS:
In both groups, IOP peaked six hours after surgery. The occurrence of an IOP spike by postoperative day one was observed in six cases (6 / 31) in group A and in no cases (0 / 31) in group B, a difference that was statistically significant (p = 0.024). The values of endothelial cell density, central corneal thickness, anterior chamber inflammation, myopic shift, and posterior capsule opacification were not significantly different between the two groups.CONCLUSIONS:
Compared with the use of OVD for IOL implantation, use of BSS during IOL implantation resulted in reductions in postoperative IOP spike and OVD removal time.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Cataract Extraction
/
Prospective Studies
/
Phacoemulsification
/
Lens Implantation, Intraocular
/
Device Removal
/
Intraocular Pressure
/
Therapeutic Irrigation
/
Anterior Chamber
Type of study:
Controlled clinical trial
/
Observational study
Limits:
Aged
/
Humans
Language:
English
Journal:
Korean Journal of Ophthalmology
Year:
2011
Type:
Article
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