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NR 4-5/2004

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Ocena porównawcza
przebiegu i wczesnych wyników po fakoemulsyfikacji zaćmy
technikami divide and conquer oraz stop and chop
Cataract phacoemulsification
techniques: „divide and conquer” versus “stop and chop” –
comparative evaluation of operation course and early results
Andrzej Mierzejewski1, Jakub
J. Kałużny2, Bartłomiej Kałużny2, Iwona
Eliks2
1Z Oddziału Okulistycznego Szpitala Zespolonego w
Kaliszu
Ordynator: dr n. med. Andrzej Mierzejewski
2Z Kliniki Chorób Oczu Akademii Medycznej w
Bydgoszczy
Kierownik: prof. dr hab. n. med. Józef Kałużny |
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| Summary: |
Purpose: To compare
ultrasound time, quality and quantity of intraoperative
complications together with the eye condition in early
postoperative period in patients who underwent “divide
and conquer” and “stop and chop” cataract
phacoemulsification.
Material and methods: “Divide and conquer”
phacoemulsification was performed in 49 eyes, whereas
“stop and chop” technique in 67 eyes. Before surgery
axial lengths of the eye, anterior chamber depth and
pupillary reflex were measured. During the surgery
effective phaco time, nucleus hardness and all the
complications were recorded, whereas in the first day
post operation visual acuity and amount of corneal edema
were examined.
Results: The ultrasound time was significantly
shorter in patients operated with “stop and chop”
technique. In the first postoperative day better visual
acuity and smaller amount of corneal edema were observed
in this group.
Conclusions: “Stop and chop” technique gives
better early postoperative results in comparison to
“divide and conquer” technique. The number of
intraoperative complications in both group is low. |
| Słowa kluczowe: |
fakoemulsyfikacja,
technika „divide and conquer”, technika „stop and chop”,
powikłania, wyniki wczesne. |
| Key words: |
phacoemulsification,
divide and conquer, stop and chop, complication, early
results. |
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