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Comparision between phaco-chop and divide & conquer technique in micro incisional cataract surgery (MICS)

Poster Details

First Author: S.Sarkar INDIA

Co Author(s):    S. Kaliaperumal   A. Deb   N. Bardoloi              

Abstract Details

Purpose:

To compare the outcomes of the phaco-chop and divide & conquer technique in micro incisional cataract surgery (MICS).

Setting:

Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.

Methods:

Eyes with nuclear density from grade 2 to 4 were randomly subdivided into 2 groups (phaco-chop, divide-and-conquer). Intraoperative parameters taken are ultrasound time (UST), mean cumulative dissipated energy (CDE), and balanced salt solution use. patients were examined preoperative and 1 day, 1 month, and 3 months postoperative for best-corrected visual acuity, central corneal thickness, and endothelial cell count.

Results:

There was no significant difference in both the techniques in Grade 2 and 3 cataracts. However, intraoperative measurements showed significantly less UST, CDE, and balanced salt solution use with the phaco-chop technique than with the divide-and-conquer in the grade 4 cataract density group (P<.05). Endothelial cell loss was also less in the phaco-chop technique in grade 4 cataracts.

Conclusions:

The phaco-chop technique is found to be more effective in hard cataracts with less endothelial damage.

Financial Disclosure:

None

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