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KMID : 0360220090500040537
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Journal of the Korean Ophthalmological Society
2009 Volume.50 No. 4 p.537 ~ p.541
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Comparison Between Bimanual Microincisional Cataract Surgery and Conventional Coaxial Phacoemulsification
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Kim Hyun-Kyung
Lee Hyun-Soo
Park Shin-Hae
Joo Choun-Ki
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Abstract
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Purpose: To evaluate corneal endothelial cell changes after conventional coaxial phacoemulsification and bimanual microincision cataract surgery (MICS).
Methods: Forty patients were divided into 2 groups, coaxial phacoemulsification (Group 1, n=20), and MICS (Group 2, n=20). To evaluate corneal endothelial cell changes after coaxial phacoemulsification and bimanual MICS, intraoperative phacoemulsification power and volume of intraoperative irrigation solution (balanced salt solution, BSS®, Alcon, U.S.A) were measured. Central corneal thickness and endothelial cell count were also evaluated, preoperatively and at 1 week, and 2 months postoperatively.
Results: Between the 2 groups, there was no statistically significant difference in intraoperative phacoemulsification power and volume of intraoperative irrigation solution (balanced salt solution, BSS®, Alcon, U.S.A.) (p＞0.05). In addition, there was no statistically significant difference between the 2 groups in endothelial cell count and central corneal thickness (p＞0.05).
Conclusions: When comparing bimanual MICS and conventional coaxial phacoemulsification, bimanual MICS appears to have similar endothelial cell changes. In conclusion, MICS has the same safety as compared to coaxial phacoemulsification.
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KEYWORD
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Bimual microincisional cataract surgery (Bimanual MICS), Coaxial phacoemulsification, Endothelial cell count, Irrigation solution volume, Phacopower
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