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NR. 4(II)/2008
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Ocena wyników
operacji zaćmy metodą koaksjalnej fakoemulsyfikacji przez
mikrocięcie (C-MICS) z wszczepieniem soczewki wewnątrzgałkowej
Evaluation of Results of Coaxial Phacoemulsification with
Implantation of an Intraocular Lens through a Microincision
Michał Wilczyński, Ewa Supady,
Piotr Loba, Aleksandra Synder, Dorota Pałenga-Pydyn, Wojciech
Omulecki
Klinika Chorób Oczu I Katedry Chorób Oczu Uniwersytetu
Medycznego w Łodzi
Kierownik: prof. dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: In the
recent years, a fast development of surgical techniques
in cataract surgery can be observed. It is connected
with the introduction of new technologies, phaco
machines, surgical instruments and intraocular lenses.
Microincision cataract surgery raised much interest
recently, as it is perceived as the next step in
cataract sugery.
The purpose of the study was to evaluate functional
results after coaxial 1.8mm microincision surgery (C-MICS)
with intraocular lens implantation.
Materials and Methods: The examined group
consisted of 98 eyes of 98 consecutive patients operated
using coaxial 1.8 mm microincision cataract surgery,
with a foldable intraocular lens implantation.
In the examined group, there were 62 women (63%) and 36
men (37%), in age from 45 to 92 years (mean age 73 ±10
years).
We examined: objective reafraction using
autorefractometry (Tomey TR 400), manual Javal
keratometry, best corrected visual acuity using standard
Snellen charts, and corneal endothelial cell density
using confocal microscope Topcon SP 2000P. Anterior and
posterior segment of the eye were also evaluated.
Surgically induced astigmatism (SIA) was calculated
using vector analysis and Naeser’s method.
Results: There were no intraoperative and
postoperative complications in any patient. Visual
acuity improved postoperatively in all patients and the
implanted lens was positioned centrally.
Best corrected visual acuity amounted to 0.36±0.25
preoperatively and improved to 0.96 ± 0.1
postoperatively. Surgically induced astigmatism caused
by C-MICS was minimal – according to vector analysis
mean SIA was 0.35 ± 0.28 D. Mean corneal endothelial
cell density loss was 10.2%.
Conclusions: Coaxial 1.8 mm microincision
cataract surgery, with a foldable intraocular lens
implantation is a safe technique and enables to achieve
very good functional results and fast visual
rehabilitation.
Both surgically induced astigmatism and corneal
endothelial cell density loss caused by C-MICS were very
small. |
| Key words: |
phacoemulsification,
microincision, coaxial MICS, functional results. |
| Słowa kluczowe: |
fakoemulsyfikacja,
mikrocięcie, koaksjalny MICS, wyniki czynnościowe. |
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