Comparison Between Bimanual Microincisional Cataract Surgery and Conventional Coaxial Phacoemulsification.
10.3341/jkos.2009.50.4.537
- Author:
Hyun Kyung KIM
1
;
Hyun Soo LEE
;
Shin Hae PARK
;
Choun Ki JOO
Author Information
1. Department of Ophthalmology and visual science, Seoul St. Mary's Hospital, Colleage of Medicine, The Catholic University of Korea, Seoul, Korea. ckjoo@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Bimual microincisional cataract surgery (Bimanual MICS);
Coaxial phacoemulsification;
Endothelial cell count;
Irrigation solution volume;
Phacopower
- MeSH:
Cataract;
Endothelial Cells;
Humans;
Phacoemulsification
- From:Journal of the Korean Ophthalmological Society
2009;50(4):537-541
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate corneal endothelial cell changes after conventional coaxial phacoemulsification and bimanual microincision cataract surgery (MICS). METHODS: Forty patients were divided into 2 groups, coaxial phacoemulsification (Group 1, n=20), and MICS (Group 2, n=20). To evaluate corneal endothelial cell changes after coaxial phacoemulsification and bimanual MICS, intraoperative phacoemulsification power and volume of intraoperative irrigation solution (balanced salt solution, BSS(R), Alcon, U.S.A) were measured. Central corneal thickness and endothelial cell count were also evaluated, preoperatively and at 1 week, and 2 months postoperatively. RESULTS: Between the 2 groups, there was no statistically significant difference in intraoperative phacoemulsification power and volume of intraoperative irrigation solution (balanced salt solution, BSS(R), Alcon, U.S.A.) (p>0.05). In addition, there was no statistically significant difference between the 2 groups in endothelial cell count and central corneal thickness (p>0.05). CONCLUSIONS: When comparing bimanual MICS and conventional coaxial phacoemulsification, bimanual MICS appears to have similar endothelial cell changes. In conclusion, MICS has the same safety as compared to coaxial phacoemulsification.