Objective: To compare clinical outcomes of cataract surgeries with 2.4 mm and 2.8 mm clear corneal incisions. Materials and Methods: This retrospective study comprised 2 groups of cataract surgery cases with different wound lenghts of group 1; 2.4 mm and group 2; 2.8 mm. We evaluated 80 eyes of 72 patients with 3-month follow-ups. Procedures carried out using the temporal self-sealing incision technique. Measured intraoperative parameters included phacoemulsification time, mean cumulative dissipated ultrasound energy and total volume of balanced salt solution used. Keratometric data, specular microscopy and macular thickness were measured preoperatively, and postoperative 1 and 3 months. Vector analysis calculated the surgically induced astigmatism. SPSS 15.0 were used for statistical analysis. Results: There were no significant differences in intraoperative ultrasound energy, total phacoemulsification time and volume of balanced salt solution analyzed between two groups (p>0.05). There were no statistically significant difference between two groups in macular thickness alteration and endothelial cell loss (ECL) (p>0.05). The mean surgically induced astigmatism was significantly less in group 1 in each visit (p<0.05). Conclusion: Phacoemulsification surgery through a 2.4 mm incision size appeared to be safe and less surgically induced astigmatism.
Dominant ve Dominant-olmayan El ile Fakoemülsifikasyon (Katarakt Cerrahisi) Sonuçları Aim: The aim was to present the outcomes of phacoemulsification surgery with dominant and non-dominant hands. Methods: Eighty eyes of 72 patients undergoing phacoemulsification with a temporal clear corneal incision were included in the study by reviewing their medical records and were divided into two groups. Forty of operated eyes were right eyes and forty were left ones. We operated right eyes with dominant (right) hand, and left eyes with non-dominant (left) hand through a temporal clear corneal tunnel. The patients were followed up at week 1 st and month 1 st and 3 rd. Keratometry and specular microscopy were performed preoperatively, at month 1 st and 3 rd after surgery. We recorded the total volume of fluid used, phaco time and cumulative dissipated energy. We calculated surgically-induced astigmatism using vector analysis. Results: There was no statistically significant difference in intraoperative and postoperative outcomes between phacoemulsification surgeries performed with dominant and non-dominant hands. Conclusion: Phacoemulsification surgeries can be carried out with non-dominant hand and with excellent outcomes.
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