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Viscofree hydrophaco: anatomical & functional results
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First Author: A.Shroff INDIA
Co Author(s): H. Shroff
Abstract Details
Purpose:
Use of visco elastic during phaco procedure is very common but not always 100% risk free. In this series, we have done complete phaco procedure with IOL insertion using BSS through anterior chamber maintainer and studied the changes in corneal endothelial cells count and its clarity.
Setting:
This study was conducted at Shroff Eye Hospital, Navsari – India.
Methods:
52 normal eyes with operable cataracts were selected for this study. Corneal endothelial cells were studied on specular microscope. BSS was introduced in A.C. through Ant .Chamber Maintainer keeping the tip of cannula facing inferiorly away from operating area. All steps from corneal wound making to insertion of IOL were done in BSS only by irrigation keeping ON except small amount of visco which required to load IOL into the cartridge. Pupil was constricted and wounds were hydrated. Patients were examined on slit lamp for endothelial cells count on the same day and after one month and BCVA were recorded.
Results:
There was no intra or post op complication. Average 75 cc of BSS was used. On the same day cornea were fairly clear in all cases. AC was well formed. Pupils were round. Corneal endothelial cells pre op was average 2699 cells/mm2. Same day, post op count was average 2671 cells/mm2. Hence the loss was hardly 1.03%. All patients were again examined after one month. Cornea was clear. IOP was normal. Corneal endothelial cells count was average 2691 cells/mm2 (0.13% less). Best corrected vision was from 6/6 to 6/9.
Conclusions:
In 52 eyes, all surgical steps of phacoemulsification were done using BSS through ACM. Even on same day, cornea was fairly clear with fully formed AC and round pupil. Corneal endothelial cells were reduced by only 1.03% which was recovered by one month. At one month, BCVA was very good. Hydrophaco is a safe procedure.
Financial Disclosure:
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