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NR. 4/2009
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Ocena wczesnej
pooperacyjnej nieskorygowanej ostrości wzroku po operacji zaćmy
metodą koaksjalnej fakoemulsyfikacji przez mikrocięcie (C-MICS)
z wszczepieniem soczewki wewnątrzgałkowej
Evaluation of the Early Uncorrected Visual Acuity after Coaxial
Microincision Cataract Surgery (C-MICS) with Intraocular Lens
Implantation
Ewa Supady, Michał Wilczyński,
Piotr Loba, Aleksandra Synder, Tomasz Wierzchowski,
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: |
Introduction: In the
recent years, a fast development of surgical techniques
in cataract surgery is observed and it caused corneal
incision size reduction and microincision cataract
surgery introduction.
Purpose: To evaluate early uncorrected visual acuity
after 1.8 mm coaxial microincision cataract surgery with
foldable intraocular lens implantation.
Materials and Methods: The examined group consisted of
46 patients (46 eyes) operated using coaxial 1.8 mm
microincision cataract surgery, with foldable
intraocular lens implantation Akreos®MI60 (Bausch & Lomb).
The reference group consisted of 59 patients (59 eyes)
operated using standard 2.75 mm small incision
phacoemulsification, with foldable intraocular lens
implantation AcrySof® (Alcon).
Te following parameters were evaluated on the 1st day
and 1 month postoperatively: uncorrected visual acuity (UCVA),
intraocular pressure, anterior and posterior segment of
the eye.
Results: Postoperatively, we found an increase of UCVA
in both groups. On the first day after surgery UCVA in
the examined group ranged from 0.4 to 1.0 (mean 0.90 ±
0.15), and in the reference group it ranged from 0.1 to
1.0 (mean 0.83 ± 0.23). There difference between the
groups was significant.
In the final postoperative examination there was no
significant difference in mean UCVA between the groups.
Conclusions: Coaxial microincision cataract surgery is
equally safe as standard phacoemulsification and enables
to achieve very good early functional results. Coaxial
microincision cataract surgery allows to achieve better
uncorrected visual acuity in the immediate postoperative
period, thus shortening visual rehabilitation. |
| Key words: |
phacoemulsification,
microincision, coaxial MICS. |
| Słowa kluczowe: |
fakoemulsyfikacja,
mikrocięcie, koaksjalny MICS. |
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