دراسة مقارنة لنتائج كل من استحلاب العدسة البارد ثنائي المحور عبر جرح دقيق واستحلاب العدسة وحيد المحور في مشفى المواساة الجامعي

الموضوعات

طب

روابط وملفات

التعريف والنوع

رقم الوثيقة

0edf6e1c-01c1-42c8-a3c9-c495636d774e

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1966126_1.pdf

بيانات النشر

ترجمة العنوان

Comparative Study Evaluating Results of Biaxial Microincision Cold Phacoemulsification Versus Coaxial Phacoemulsification At Al Mouassat university Hospital

ألقاب المؤلفين

[{"name_ar":"أروي العظمة","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"هبة محمد فتحي السرايحي","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":"يسري حدة","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

Arabic

المصدر والدورية

اسم المصدر

دراسة مقارنة لنتائج كل من استحلاب العدسة البارد ثنائي المحور عبر جرح دقيق واستحلاب العدسة وحيد المحور في مشفى المواساة الجامعي

المحتوى والصفحات

عدد الصفحات

133

ترجمة الملخص

Comparative study of the clinical, visual and refractive results for both coaxial and Biaxial Microincision Cold Phacoemulsification, to show the technical, surgical, visual and refractive characteristics of the Biaxial Microincision Cold Phacoemulsificationin comparison with the coaxial phacoemulsification .Study design: Interventional, comparative, blinded study.Participans:34 eyes of 30 patient swith varying development of senile cataract, were examined at Almouassat University Hospital-The Ophthalmology Department-Faculty of Medicine-Damascus University. The range of patients' ages was 45-70 years (with average age 62.6 year).Methods :The included eyes were assigned randomly (1:1) to a biaxial or conventional coaxial incision group ;the first group included 17 eyes undergone coaxial phacoemulsification through a 3-3.2mm incision with intra capsule foldable lens implant; the other group included 17 eyes that undergone cold, biaxial phacoemulsification through 1.5mm microincision with foldable lens implantation by inserting the injector through the external portion of one of the two wounds after increasing the wound width to no more than 1.8-2mm, then the lens was injected into the anterior champer or directly in to the bag. Main Outcomes Measures: in the end of surgery the real phaco time was recorded, and after the surgery the best corrected visual acuity (BCVA), surgically induced astigmatism (SIA), endothelial cells count and the inflammatory reaction in the anterior champer was followed up in both groups up to three months post operatively .Results :By comparing BCVA between the two groups we noticed a statistically significant difference3 days, a week and a month after surgery that the mean BCVA was better in the second group; P value was (0.001, 0.001,0.003) consecutively, but the difference turned insignificant 3 months after surgery (P=0.46). there was, also, statistically significant difference between the two groups in the SIA one month after surgery (in the first group SIA=0.91±0.24 and 0.43±0.22 in the second group, with P<0.001), that resulted in improved visual results and faster rehabilitation in the second group. And by comparing surgery effect on the endothelial cells count between the two groups there was a statistically significant difference in endothelial cells loss percentage one week, one month and three months after surgery (P value was 0.025, 0.010, 0.001 consecutively), and the loss ratio during all the follow-up periods were less in the biaxial phacoemulsification(7.78%-5.98%-3.97%) than the coaxial phacoemulsification (10.39%-8.21%-6.5%) after one week, one month and three months consecutively after surgery .And regarding the real phaco time, there was a statistically significant difference (P=0.04) between the two groups (00:07:12 seconds in the coaxial group and 00:04:51 seconds in the biaxial group) in spite of the absence of statistically significant difference(P=0.668) in the mean total ultrasound time between the two groups (1:11:10 minutes in the coaxial group and 1:18:30 minutes in the biaxial group). And by comparing the inflammatory reaction in the anterior champer in our study, we found it to be similar in the first day, turning out to be less in the biaxial group 3days and a week after surgery with the difference being significant (P: 0.037, 0.054 consecutively), and there was no reaction one month and three months after surgery in both groups. Finally by surveying the surgical and post surgical complications there was none to be mentioned. Conclusion :The microincisional biaxial phacoemulsification turned out to be a safe and effective method as the conventional surgery, with additional advantages over the latter presented in the faster visual rehabilitation (because of the reduced SIA and the resulting better VA) and the less loss of the endothelial cells accompanying the significantly reduced real phaco time. In addition to that, the anterior champer reaction disappeared more rapidly. Finally, there were no surgical or post-surgical complications accompanying the microincisional biaxial phacoemulsification.

إشراف وإعداد

الإشراف

أروي العظمة, يسري حدة

الإعداد

هبة محمد فتحي السرايحي

الاقتباسات الببليوغرافية