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使用主动流体系统的飞秒激光辅助白内障手术与传统超声乳化白内障手术的疗效研究。

Outcomes study between femtosecond laser-assisted cataract surgery and conventional phacoemulsification surgery using an active fluidics system.

作者信息

Hida Wilson Takashi, Tzelikis Patrick Frenzel, Vilar César, Chaves Mario Augusto Pereira Dias, Motta Antônio Francisco Pimenta, Carricondo Pedro Carlos, Ventura Bruna Vieira, Ambrosio Renato, Nosé Walton, Alves Milton Ruiz

机构信息

Department of Cataract of Brasília Ophthalmology Hospital (HOB), Brasília, Federal District.

Renato Ambrosio Research Center (CEORA), Brasília, Federal District.

出版信息

Clin Ophthalmol. 2017 Sep 25;11:1735-1739. doi: 10.2147/OPTH.S136136. eCollection 2017.

DOI:10.2147/OPTH.S136136
PMID:29026283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5627560/
Abstract

PURPOSE

The purpose of this study was to compare intraoperative parameters between femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification using Centurion Vision System with Active Fluidics.

SETTING

This study was performed at Brasília Ophthalmologic Hospital, Brasília, Federal District, Brazil.

PATIENTS AND METHODS

This was a prospective randomized comparative study. Patients with the diagnosis of cataract and surgical extraction programmed were divided into two groups: conventional phacoemulsification and FLACS. Intraoperative data were collected and submitted for statistical analysis.

RESULTS

A total of 400 eyes were enrolled, 200 in each group. There were no surgical complications. Groups were statistically equivalent in age and nucleus density. Cumulative dissipated energy and torsional time were significantly reduced in the FLACS group. Conventional surgery had less fluid usage, total case time and aspiration (ASP) time.

CONCLUSION

FLACS with Active Fluidics System can reduce the ultrasound energy use during cataract surgery, in spite of increasing case time, fluid usage and ASP time.

摘要

目的

本研究旨在比较飞秒激光辅助白内障手术(FLACS)与使用带有主动流体控制系统的Centurion视觉系统进行的传统超声乳化白内障吸除术的术中参数。

设置

本研究在巴西联邦区巴西利亚眼科医院进行。

患者和方法

这是一项前瞻性随机对照研究。诊断为白内障且计划进行手术摘除的患者被分为两组:传统超声乳化白内障吸除术组和飞秒激光辅助白内障手术组。收集术中数据并进行统计分析。

结果

共纳入400只眼,每组200只。未发生手术并发症。两组在年龄和晶状体核密度方面具有统计学等效性。飞秒激光辅助白内障手术组的累积耗散能量和扭转时间显著降低。传统手术的液体用量、总手术时间和抽吸时间较少。

结论

尽管手术时间、液体用量和抽吸时间增加,但带有主动流体控制系统的飞秒激光辅助白内障手术可减少白内障手术期间的超声能量使用。

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Eye Vis (Lond). 2016 Jul 29;3:20. doi: 10.1186/s40662-016-0050-x. eCollection 2016.
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All laser cataract surgery compared to femtosecond laser phacoemulsification surgery: corneal trauma.所有激光白内障手术与飞秒激光白内障超声乳化手术对比:角膜创伤
Int Ophthalmol. 2017 Jun;37(3):475-482. doi: 10.1007/s10792-016-0283-7. Epub 2016 Jul 5.
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传统超声乳化手术与飞秒激光超声乳化手术:白内障患者累积消散能量与角膜内皮损失的比较分析
Clin Ophthalmol. 2023 Jun 19;17:1709-1716. doi: 10.2147/OPTH.S408717. eCollection 2023.
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Application of the Active-Fluidics System in Phacoemulsification: A Review.主动流体系统在白内障超声乳化术中的应用:综述
J Clin Med. 2023 Jan 12;12(2):611. doi: 10.3390/jcm12020611.
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A One Year Longitudinal Comparative Analysis of Visual Outcomes Between Femtosecond Laser-Assisted Cataract Surgery and Standard Phacoemulsification Cataract Surgery.飞秒激光辅助白内障手术与标准超声乳化白内障手术视觉效果的一年纵向对比分析
Clin Ophthalmol. 2021 Dec 14;15:4667-4680. doi: 10.2147/OPTH.S336356. eCollection 2021.
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