NR 6/2004

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Niezborność po usunięciu zaćmy we wczesnym okresie pooperacyjnym

Astigmatism at post operational stage after a phacoemulsification cataract removal

Emilia Dębińska1, Jacek Fuchs1, Ryszard Naskręcki1, Ryszard Philips2,
Andrzej Styszyński2

1Z Zakładu Elektroniki Kwantowej Wydziału Fizyki Uniwersytetu im. Adama Mickiewicza w Poznaniu
Kierownik: prof. dr hab. Ryszard Parzyński
2Z Oddziału Okulistycznego Szpitala Wojewódzkiego w Poznaniu
Ordynator: dr n. med. Ryszard Philips

Summary: Objective: Assessment of post operation astigmatism and dynamics of its reduction within three month after the procedure.
Material and methodology: The research included cataract removal in 140 eyes by means of phacoemulsification (100) and extracapsular (40) methods. Central keratotomy and refraction measurements were conducted with a refractor on 2nd, 7th, 30th and 90th day after the procedure.
Results: Average value of postoperative astigmatism after an extracapsular cataract removal was 4.69 D on the second day. After a phacoemulsification without a suture the value was 1.36 D, with a single loop suture – 1.98 D, with a single criss-cross suture it was 2.89 D. Two alternative parameters of astigmatism reduction were suggested: a half-value period and a rate of reduction.
Conclusions: Average early postoperative astigmatism values after an extracapsular cataract removal are at least twice as high as in the case of a phacoemulsification cataract removal. A suture applied after a phacoemulsification results in an increase in early postoperative astigmatism. Astigmatism half-value period and rate of reduction provide a good description of the dynamics of postoperative astigmatism reduction.
Słowa kluczowe:  operacje zaćmy, fakoemulsyfikacja, niezborność, stała zaniku astygmatyzmu.
Key words: cataract operation, phacoemulsification, astigmatism, rate of astigmatism reduction.



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