Sabur Huri, Eroglu Sayime Aydin, Azarsiz Salih Sertac
Department of Ophthalmology, Bergama Necla-Mithat Oztüre State Hospital, Izmir, Turkey.
Deparment of Ophthalmology, Izmir Bakircay University Cigli Training and Research Hospital, Izmir, Turkey.
J Curr Ophthalmol. 2022 Apr 16;34(1):74-79. doi: 10.4103/joco.joco_105_21. eCollection 2022 Jan-Mar.
To compare the efficacy of the Intrepid® Balanced torsional phacoemulsification tip to that of the 30° Ozil® and 45° Kelman® tips using Centurion Vision System.
This study included 150 eyes that underwent torsional phacoemulsification surgery using 30° Ozil tip (Group 1, 48 eyes), Intrepid Balanced tip (Group 2, 52 eyes), or 45° Kelman tip (Group 3, 50 eyes). Ultrasound time (UST), cumulative dissipated energy (CDE), average phaco power, average torsional amplitude, balanced salt solution volume, aspiration and operation time, and preoperative, postoperative corrected distance visual acuity, central corneal thickness were recorded.
The mean UST, CDE, average phaco power, average torsional amplitude were 49.9 ± 15.7 s, 10.8 ± 4.5%-s, 23.9 ± 4.6%, and 51.4 ± 5.7% in the Ozil group and 47.5 ± 10.6 s, 5.3 ± 2.2%-s, 12.5 ± 5.3%, and 28.9 ± 7.2% in the Intrepid® Balanced group, and 48.1 ± 12.7 s, 6.9 ± 3.3%-s, 18.9 ± 5.9%, and 39.2 ± 7.9% in the Kelman group, respectively. The CDE, average phaco power, and average torsional amplitude of the Intrepid® Balanced group were significantly lower than other groups ( < 0.05). There was no statistically significant difference between the three groups in terms of UST and operation time ( > 0.05).
Intrepid Balanced tip, by means of its distinctive "double bent" design and balanced energy distribution, offers more effective phacoemulsification compared to conventional 30° Ozil and 45° Kelman tips.
使用Centurion视觉系统比较Intrepid®平衡扭转式超声乳化针头与30°Ozil®和45°Kelman®针头的疗效。
本研究纳入150只接受扭转式超声乳化手术的眼睛，使用30°Ozil针头（第1组，48只眼）、Intrepid平衡针头（第2组，52只眼）或45°Kelman针头（第3组，50只眼）。记录超声时间（UST）、累积消散能量（CDE）、平均超声乳化功率、平均扭转幅度、平衡盐溶液体积、抽吸和手术时间，以及术前、术后矫正远视力、中央角膜厚度。
Ozil组的平均UST、CDE、平均超声乳化功率、平均扭转幅度分别为49.9±15.7秒、10.8±4.5%-秒、23.9±4.6%和51.4±5.7%；Intrepid®平衡组分别为47.5±10.6秒、5.3±2.2%-秒、12.5±5.3%和28.9±7.2%；Kelman组分别为48.1±12.7秒、6.9±3.3%-秒、18.9±5.9%和39.2±7.9%。Intrepid®平衡组的CDE、平均超声乳化功率和平均扭转幅度显著低于其他组（P<0.05）。三组在UST和手术时间方面无统计学显著差异（P>0.05）。
Intrepid平衡针头凭借其独特的“双弯”设计和平衡的能量分布，与传统的30°Ozil和45°Kelman针头相比，能提供更有效的超声乳化效果。
