Changes in corneal endothelium cell characteristics after cataract surgery with and without use of viscoelastic substances during intraocular lens implantation

Schulze, Stephan; Bertelmann, Thomas; Manojlovic, Irena; Bodanowitz, Stefan; Irle, Sebastian; Sekundo, Walter

doi:10.2147/opth.s90628

Cited by 17 publications

(17 citation statements)

References 36 publications

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“…Results of ECD showed a decrease in both groups from preoperatively to postoperatively, which may be associated with the quality of the balanced salt solution, kind of the ophthalmic viscoelastic device material, mechanical trauma and thermal injury from sonic waves . The value did not return to baseline at the end of follow‐up.…”

Section: Discussioncontrasting

confidence: 62%

Comparative outcomes of femtosecond laser‐assisted cataract surgery and manual phacoemusification: a six‐month follow‐up

Chen

Hua

et al. 2016

Clinical Exper Ophthalmology

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Section: Discussioncontrasting

confidence: 62%

Comparative outcomes of femtosecond laser‐assisted cataract surgery and manual phacoemusification: a six‐month follow‐up

Chen

Hua

et al. 2016

Clinical Exper Ophthalmology

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“…The mean preoperative BCVA was 0.89±0. 13 The phaco parameters of both groups were similar and are shown in Table 2.…”

Section: Resultsmentioning

confidence: 73%

“…To avoid these complications, a technique has been described in literature of IOL implantation using a balanced salt solution (BSS) to maintain the anterior chamber rather than filling the capsular bag with an OVD (10). The results of the technique seem promising, but the data are still insufficient (10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Balanced Salt Solution Assisted Intraocular Lens Implantation in Phacoemulsification Surgery: Intraocular Pressure and Endothelial Study

Yüksel¹

2019

Beyoglu Eye J

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The purpose of this study was to evaluate the effect of balanced salt solution (BSS)-assisted intraocular lens (IOL) implantation on postoperative intraocular pressure (IOP) and endothelial cells and to compare BSS-assisted IOL implantation with the use of ophthalmic viscosurgical devices during IOL implantation. Methods: A total of 52 eyes of 40 patients (25 female, 15 male) with a cataract who underwent phacoemulsification surgery with BSS-assisted (26 eyes) or viscoelastic-assisted IOL implantation (26 eyes) were evaluated. BSS-assisted IOL implantation was performed with the aid of irrigation cannula and BSS without using a viscoelastic substance. Viscoelastic-assisted IOL implantation was performed according to standard procedures to facilitate IOL implantation. IOP measurements and endothelial changes after phacoemulsification surgery, as well as the surgical time were noted and compared. The eyes were also evaluated in terms of cataract density preoperatively and phaco parameters were assessed peroperatively. Results: The mean age of the patients was 67.5±7.8 years in the BSS-assisted group and 67.8±9.4 years in the viscoelastic group. The mean preoperative IOP and postoperative IOP on day 1, week 1, and month 1 was 14.2±2.3, 14.7±3.1, 13.2±1.5, and 13.8±2.7 mmHg, respectively, for the BSS-assisted group and 14.1±2.9, 19.1±3.4, 13.8±3.1, and 13.2±2.9 mmHg, respectively, for the viscoelastic-assisted IOL implantation group. The IOP increase was significantly greater on the first day in the viscoelastic-assisted IOL implantation group (p=0.007). The surgical time was 12.3±2.1 minutes in the BSS group and 14.6±3.1 minutes in the viscoelastic group (p=0.035). The difference in endothelial changes was not statistically significant between groups (p=0.88). Conclusion: IOL implantation using BSS in phacoemulsification surgery is a reliable technique, and this method has a significantly shorter surgery time and a much smaller postoperative IOP increase. The reduced IOP increase after cataract surgery might be particularly helpful for glaucoma patients.

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“…Schulze et al [25] avoid their use, only during IOL implantation, without finding difference in endothelial cell loss. Oksuz et al [26] described a technique without VS to perform capsulorhexis, but they use it after hydrodissection and for the IOL implantation.…”

Section: Is This Technique Secure?mentioning

confidence: 99%

Phacoemulsification Cataract Surgery without Viscoelastic Substance: Bianchi’s Method

Roberto¹

2018

Difficulties in Cataract Surgery

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Life expectancy of the population increase and cataract development will affect all the people with aging. Cataract surgery, a worldwide performed procedure, evolves and progresses. However, different techniques exist, which could be selected for different cases. Any ideal technique should be safe, simple, fast, and easy to learn with good clinical outcome. This chapter will describe one technique to operate cataracts with those characteristics and to perform phacoemulsification cataract surgery without viscoelastic substance. Some advantages of this technique are related to avoiding viscoelastic potential problems, as postoperative intraocular pressure elevation or anterior chamber inflammation associated with viscoelastic. Moreover, a fundamental factor to remark is the difference between work into the anterior chamber with negative pressure or positive pressure. Because the anterior chamber is maintained by the balanced salt solution with the continuous irrigation without viscoelastic. Performing the capsulorhexis is easier. Other advantages are shorten surgical time, fewer economical cost, and potentially fewer complications. Some limitations are as follows: intraocular lens must be one piece foldable, and principally, patients with corneal endothelial pathology must be excluded. Tips, step-by-step surgery, recommendations, and evolution of the technique will be described, with the wish that many surgeons will try to perform Bianchi's method (bimanual, microincision phacoemulsification cataract surgery without viscoelastic substance) for your next patient.

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Changes in corneal endothelium cell characteristics after cataract surgery with and without use of viscoelastic substances during intraocular lens implantation

Cited by 17 publications

References 36 publications

Comparative outcomes of femtosecond laser‐assisted cataract surgery and manual phacoemusification: a six‐month follow‐up

Comparative outcomes of femtosecond laser‐assisted cataract surgery and manual phacoemusification: a six‐month follow‐up

Balanced Salt Solution Assisted Intraocular Lens Implantation in Phacoemulsification Surgery: Intraocular Pressure and Endothelial Study

Phacoemulsification Cataract Surgery without Viscoelastic Substance: Bianchi’s Method

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