Comparison of OVD and BSS for Maintaining the Anterior Chamber during IOL Implantation.
- Author:
Ho Young LEE
1
;
Yoon Jung CHOY
;
Jong Seok PARK
Author Information
- Publication Type:Original Article ; Comparative Study ; Randomized Controlled Trial
- Keywords: Balanced salt solution; Endothelial cell density; Intraocular pressure spike; Ophthalmic viscosurgical device
- MeSH: Aged; Anterior Chamber/*surgery; Cataract Extraction; Device Removal; Humans; Intraocular Pressure; Lens Implantation, Intraocular/*methods; Middle Aged; Phacoemulsification/*instrumentation/*methods; Prospective Studies; Therapeutic Irrigation/*methods
- From:Korean Journal of Ophthalmology 2011;25(1):15-21
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: To compare surgical results between conventional intraocular lens (IOL) implantation using an ophthalmic viscosurgical device (OVD) and IOL implantation using a balanced salt solution (BSS) after irrigation/aspiration (I/A) of the lens cortex. METHODS: A randomized prospective study was conducted on 62 patients who underwent cataract surgery. Following completion of conventional I/A of the lens cortex, we divided patients into two groups according to whether or not BSS was used. In group A (n = 31), the anterior chamber and the capsular bag were completely filled with an OVD before IOL implantation. On the other hand, in group B (n = 31), BSS was irrigated into the anterior chamber through a previous side port during IOL implantation. Surgical results were compared between the two groups. RESULTS: In both groups, IOP peaked six hours after surgery. The occurrence of an IOP spike by postoperative day one was observed in six cases (6 / 31) in group A and in no cases (0 / 31) in group B, a difference that was statistically significant (p = 0.024). The values of endothelial cell density, central corneal thickness, anterior chamber inflammation, myopic shift, and posterior capsule opacification were not significantly different between the two groups. CONCLUSIONS: Compared with the use of OVD for IOL implantation, use of BSS during IOL implantation resulted in reductions in postoperative IOP spike and OVD removal time.
