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层流空气流动装置与传统刷手法在白内障手术中的有效性和安全性:一项为期1年的非劣效性试点研究。

Effectiveness and safety of cataract surgery in laminar air flow device versus traditional scrubs: A 1-year non-inferiority pilot study.

作者信息

Artus Arnaud, Fabro Filippo, Cochereau Isabelle, Caputo Georges, Tadayoni Ramin, Vignal Catherine, Galatoire Olivier, Salviat Flore, Gatinel Damien, Panthier Christophe

机构信息

Department of Ophthalmology, Rothschild Foundation Hospital, Paris, France.

Hôpital Lariboisière, Paris, France.

出版信息

Front Med (Lausanne). 2023 Feb 23;10:987505. doi: 10.3389/fmed.2023.987505. eCollection 2023.

Abstract

PURPOSE

The study aimed to assess the safety and the non-inferiority of cataract surgery outside an operating room using the Surgicube, a mobile laminar airflow (LAF) device.

SETTINGS

This single-center study was conducted at the Rothschild Foundation, Paris, France.

DESIGN

This is a retrospective cross-sectional study.

METHODS

All patients operated on for cataracts using the Surgicube between February 2020 and February 2021 were included and controlled by a cohort of patients operated on for cataracts in the traditional theater during the same period. Patients with a postoperative follow-up of less than 1 month were excluded. Data collection was carried out using the patient's medical record. The primary endpoint was the evaluation of the number of endophthalmitis in the two groups. The secondary judgment criteria were the analysis of the various complications and the Logmar visual acuity at 1 month in the two groups. All the patients underwent an OCT retinal examination.

RESULTS

A total of 923 randomized patients who underwent cataract surgery between 2020 and 2021 have been included in the study. Among them, 448 patients were operated on using the Surgicube, and 475 patients underwent surgery in the traditional operating room using the same lens phacoemulsification technique. There are no significant differences between the two groups ( > 0.05).

CONCLUSION

Cataract surgery using the Surgicube outside a conventional operating room seems non-inferior to conventional scrub.

摘要

目的

本研究旨在评估使用移动层流气流(LAF)设备Surgicube在手术室以外进行白内障手术的安全性和非劣效性。

设置

本单中心研究在法国巴黎的罗斯柴尔德基金会进行。

设计

这是一项回顾性横断面研究。

方法

纳入2020年2月至2021年2月期间使用Surgicube进行白内障手术的所有患者,并与同期在传统手术室进行白内障手术的一组患者进行对照。排除术后随访时间少于1个月的患者。使用患者病历进行数据收集。主要终点是评估两组眼内炎的数量。次要判断标准是分析两组的各种并发症以及1个月时的Logmar视力。所有患者均接受了OCT视网膜检查。

结果

共有923例在2020年至2021年期间接受白内障手术的随机分组患者纳入本研究。其中,448例患者使用Surgicube进行手术,475例患者在传统手术室使用相同的晶状体超声乳化技术进行手术。两组之间无显著差异(>0.05)。

结论

在传统手术室以外使用Surgicube进行白内障手术似乎不劣于传统手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba0/9995367/d7fad7d9492d/fmed-10-987505-g001.jpg

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