KID syndrome is a very rare disease that has been reported with an incremental incidence of squamous cell carcinoma of the mucous membranes and skin (12%-15%). Here, we presented a case of severe systemic KID syndrome with ocular surface squamous neoplasia.
Aim: To compare the cumulative dissipated energy (CDE), aspiration fluid and aspiration time used during phacoemulsification using two surgical platforms. Methods: Consecutive eyes from patients undergoing cataract surgery were included. Lens opacities were graded from NO1NC1 to NO6NC6 using the LOCS III classification. Two platforms were evaluated: 1.Centurion® system with active-fluidics. 2. Infiniti ® Vision System with gravity-fluidics. Cumulative dissipated energy (CDE), aspiration time (AT) and mean estimated aspiration fluid (EAF) were registered and compared. Results: A total of 216 eyes were evaluated. Mean age ± SD was 78.3 ± 9.8 years (range 57 to 92). Significant differences were evidenced for overall CDE per nuclear density for cataracts grade II to IV (p = 0.031, p =0.045 and p = 0.032 respectively). Aspiration time showed a significant disparity for cataracts graded II and III (p = 0.024 and p = 0.001), as the Estimated Aspiration Fluid (p = 0.001 and p = 0.042 respectively). All differences favoured the active-fluidics configuration group. Conclusions: Active-Fluidics System demonstrated to be more effective than Gravity-fluidics system for cataracts grade II-IV phacoemulsification.
Comparar la energía disipada acumulada (CDE), fluido aspirado y tiempo de aspiración utilizado durante la cirugía de catarata por facoemulsificación usando 2 plataformas. Métodos: Se incluyeron los ojos de pacientes consecutivos programados para ser sometidos a cirugía de catarata. Las opacidades del cristalino fueron clasificadas desde NO1NC1 a NO6NC6 utilizando el sistema de clasificación de opacidades del cristalino (LOCS III). Se asignaron 2 plataformas: 1) fluídica activa del Centurion® y 2) fluídica por gravedad de Infiniti®. Se registraron y compararon la energía disipada acumulada (CDE), el tiempo de aspiración utilizado y el fluido aspirado estimado. Resultados: Un total de 216 ojos fueron evaluados. La edad media ± DE fue de 78.3 ± 9.8 años (rango 57 a 92). Se observó una diferencia estadísticamente significativa en la CDE para cataratas grado II a IV (p = 0.031, p = 0.045 y p = 0.032, respectivamente). El tiempo de aspiración mostró una disparidad significativa para cataratas grado II y III (p = 0.024 y p = 0.001, respectivamente), así como el fluido aspirado estimado (p = 0.001 y p = 0.042, respectivamente). Todas las diferencias favorecieron al grupo con la plataforma de fluídica activa. Conclusiones: El sistema de fluídica activa demostró ser más eficiente que la fluídica por gravedad en facoemulsificación de cataratas grado II a IV.
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