Posters

Comparison of FLACS Grid, FLACS Hybrid and MICS on CDE, post-op corneal volume and endothelial count in dense cataracts

Poster Details

First Author: B.Kashyap INDIA

Co Author(s):    B. Kashyap   B. Kashyap                 

Abstract Details

Purpose:

To compare Cumulative Dissipated Energy (CDE) in dense cataracts, early post operative Corneal Volume (CCV) and Endothelial Count (EC) among 3 groups i.e. FLACS Grid (Gr 1) and Hybrid (Gr 2) with Micro Incision Cataract Surgery (MICS) (Gr 3).

Setting:

Kashyap Memorial Eye Hospital Pvt. Ltd., Ranchi, Jharkhand India

Methods:

Each group comprised of 40 patients and respective CDE values were noted. Pre and post-operative EC, CCV and Pentacam Nucleus Grading were measured.

Results:

Tukey Post Hoc Analysis showed significance among the groups for CDE values (p=0.000). 1st day post-op CCV was lesser in Gr 1 (63.13±3.57) as compared to Gr 2 (63.42±10.2) & Gr 3 (67.97±4.38); p=0.036 and 30th day Post-op CCV were 61.61±3.45: 62.29±4.27 and 62.5±4.03 respectively (p=0.130). Post-op EC were lower in MICS group at 1st & 30th day but not significant (p=0.31)

Conclusions:

FLACS Grid and Hybrid pretreatment allowed for a significant reduction in CDE compared to MICS for denser lens nuclei resulting in less endothelial cell trauma and less central corneal swelling. The different modes of FLACS nuclear division (LenSx Alcon) require evaluation and comparison with Micro Incision Cataract Surgery technique. FLACS pretreatment has allowed for a significant reduction in Cumulative Dissipated Energy resulting in less endothelial cell trauma, significantly less central corneal swelling and higher patient satisfaction on first post operative day as compared to MICS without any Laser pre treatment in Dense Nucleus .

Financial Disclosure:

None