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NR 4-6/2008
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Porównanie wyników
fakoemulsyfikacji zaćmy o różnym stopniu stwardnienia jądra
soczewki i bezpieczeństwa jej wykonania
Comparison of efficacy and
safety of cataract phacoemulsification in patients with
different degree of nuclear sclerosis
Iwona Laudańska-Olszewska, Aleksandra
Synder, Agata Wesołek-Czernik, Wojciech Omulecki
Z Kliniki Chorób Oczu Uniwersytetu Medycznego w Łodzi
Kierownik: prof. dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: To compare
the course of surgery and operative outcomes in patients
with different stages of nuclear hardness.
Material and methods: The study comprises 36
patients with hard nucleus cataract (III and IV degree
in LOCS scale) – group II and 45 patients with softer
types of cataract (I and II degree in LOCS scale) –
group I. All patients underwent clear corneal
phacoemulsification and foldable intraocular lens
implantation. In both groups intraoperative course was
assessed and energy with effective phaco time were
measured. Visual acuity, intraocular pressure, central
corneal thickness and endothelial cell density were
estimated preoperatively and one week postoperatively.
Results: Energy and effective phaco time were
significantly higher in group II. Mean visual acuity in
both groups was 0.8 ± 0.2. Intraocular pressure, central
corneal thickness and endothelium cell loss were not
significantly different in both groups. Endothelium cell
loss were not significantly correlated with increase of
energy or duration of phacoemulsification in any of
groups.
Conclusions: Cataracts with higher stage of
nuclear hardness required more energy and effective
phaco time to be employed, but it did not influenced
significantly postoperative visual acuity, intraocular
pressure, central corneal thickness change and loss of
endothelial cells. |
| Słowa kluczowe: |
zaćma, stwardnienie jądra
soczewki, fakoemulsyfikacja. |
| Key words: |
cataract, nuclear
sclerosis, phacoemulsification. |
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