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超声乳化时被排斥颗粒的 phaco-efficiency 测试和再抽吸分析。

Phaco-efficiency test and re-aspiration analysis of repulsed particle in phacoemulsification.

机构信息

Department of Ophthalmology, Chungbuk National University College of Medicine, Cheongju, Korea.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2013 Apr;251(4):1157-61. doi: 10.1007/s00417-012-2240-0. Epub 2013 Jan 3.

DOI:10.1007/s00417-012-2240-0
PMID:23280561
Abstract

BACKGROUND

To measure the efficiency of phacoemulsification, we have developed a new experimental model for testing phaco-efficiency and analyzed re-aspiration of repulsed particles.

METHODS

Using a Kitaro wetlab system, a piece of blood agar (BA) was placed in an artificial chamber and the phacoemulsifier was placed horizontally. The settings of the phacoemulsifier (Infiniti, Alcon Laboratories) were 26 cc/min for aspiration, 350 cc/min for vacuum, and 95 cm of bottle height. The time to remove BAs was measured using Ozil 100 %, Ozil 40 %, and longitudinal 40 % of phaco power. The angle between the re-aspirated BA particles and the axis of the phacoemulsifier (re-aspiration zone, degree) was analyzed.

RESULTS

The average time (seconds) to remove BAs was lower in the Ozil 100 % and the Ozil 40 % mode than in the longitudinal mode (0.37 ± 0.39, 0.85 ± 0.57, and 2.22 ± 1.40 respectively, P value < 0.01). Repulsion exceeding 1 mm occurred more frequently in the longitudinal mode than in the Ozil 100 % mode (100 % vs 40 %, P value = 0.01, Fisher's exact test). The average of re-aspiration zone was 25.9 ± 14.5 in the longitudinal 40 % and 54.0 ± 23.0 in the Ozil 40 % (P value = 0.016).

CONCLUSIONS

The Ozil mode was more efficient than the longitudinal mode. In addition, the Ozil mode provided less repulsion and wider aspiration zone.

摘要

背景

为了衡量超声乳化的效率,我们开发了一种新的实验模型来测试超声乳化效率,并分析了被排斥颗粒的再抽吸。

方法

使用 Kitaro 湿实验室系统,将一块血琼脂(BA)放置在人工室中,并将超声乳化器水平放置。超声乳化器(Alcon Laboratories 的 Infiniti)的设置为抽吸 26 cc/min,真空 350 cc/min,瓶高 95 cm。使用 Ozil 100%、Ozil 40%和纵向 40%的超声乳化功率测量去除 BA 的时间。分析被再抽吸的 BA 颗粒与超声乳化器轴之间的角度(再抽吸区,度)。

结果

Ozil 100%和 Ozil 40%模式去除 BA 的平均时间(秒)均短于纵向模式(分别为 0.37 ± 0.39、0.85 ± 0.57 和 2.22 ± 1.40,P 值<0.01)。纵向模式中排斥超过 1 mm 的情况比 Ozil 100%模式更常见(100%比 40%,P 值=0.01,Fisher 确切检验)。纵向 40%的平均再抽吸区为 25.9 ± 14.5,Ozil 40%为 54.0 ± 23.0(P 值=0.016)。

结论

Ozil 模式比纵向模式更有效。此外,Ozil 模式提供的排斥力较小,抽吸区较宽。

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