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Influence AquaLase at Corneal Endothelial Cells


Authors: N. Jirásková;  P. Rozsíval;  M. Ludvíková;  M. Burova;  J. Nekolová
Authors‘ workplace: ± ;  Oční klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Hradec Králové, přednosta prof. MUDr. P. Rozsíval, CSc.
Published in: Čes. a slov. Oftal., 65, 2009, No. 4, p. 139-142

Overview

Purpose:
To assess the effect of the cleaning of the posterior capsule using pulses of balanced salt solution (BSS) on the corneal endothelial cells.

Methods:
This pilot study involves 43 patients with bilateral cataracts having lens removal using torsional phacoemulsification (Ozil, Infiniti, Alcon) and bimanul irrigation/aspiration (I/A). Posterior capsule of the right eye of each patient was cleaned using pulses of BSS (AquaLase, Infiniti, Alcon). Surgery was performed by one of 2 surgeons (NJ, PR), both eyes of each patient was operated on by the same surgeon. Best corrected visual acuity (BCVA), endotelial cell count and pachymetry were evaluated pre- and postoperatively as well as occurence af peri- and postoperative complications.

Results:
Preoperative mean pachymetry (P) was 566 ± 45 μ in the right eye (RE) and 562 ± 42 μ in the left eye (LE), mean endotelial cell count (ECC) 2541 ± 317 cells/mm2 (RE) and 2567 ± 311 cells/mm2 (LE). Three months after surgery P was 557 ± 43 μ (RE) and 558 ± 45 μ (LE) and ECC 2368 ± 416 cells/mm2 (RE) and 2396 ± 417 cells/mm2 (LE). There was no statistical difference in postoperative changes of both corneal parameters between right and left eyes. Best corrected visual acuity improved in all eyes and no peri-or postoperative complications occured.

Conclusions:
Cleaning of the posterior capsule using AquaLase is safe for corneal endothelial cells.

Key words:
phacoemulsification, AquaLase, endothelial cells


Sources

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Ophthalmology
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