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白内障超声乳化术中双线性与传统脚踏控制早期临床结果的比较

Comparison between Early Clinical Results of Dual-Linear and Conventional Foot-Pedal Control in Phacoemulsification.

作者信息

Kim Hyungil, Seong Jiyun, Rho Changrae

机构信息

Gyeongju St. Mary's Eye Clinic, Gyeongju 38146, Republic of Korea.

Saevit Eye Hospital, Goyang 10447, Republic of Korea.

出版信息

J Clin Med. 2024 Jan 25;13(3):693. doi: 10.3390/jcm13030693.

Abstract

BACKGROUND

The aim of this study was to compare early clinical results regarding the safety and efficacy of dual-linear vs. conventional foot-pedal control in cataract surgery.

METHODS

This was a paired-eye contralateral, retrospective, observational study. Each patient underwent cataract surgery in both eyes: one eye with dual-linear foot-pedal control (study group) and the other eye with conventional foot-pedal control (control group). Absolute phaco time (APT), average phaco power, effective phaco time (EPT), and surgical complications were analyzed and compared. Corneal endothelial cell count, corneal thickness, corneal volume, and best-corrected distance visual acuity (BCDVA) were measured preoperatively and at 1 week, 1 month, and 3 months postoperatively.

RESULTS

A total of 94 patients (188 eyes) were enrolled. The respective APT, average phaco power, and EPT values were 7.05 ± 5.31 s, 28.4 ± 1.00, and 2.05 ± 1.56 s in the study group and 6.82 ± 6.48 s, 18.9 ± 1.74, and 1.35 ± 1.35 s in the control group.

CONCLUSIONS

The average phaco power and EPT values were significantly higher in the study group. The safety of the dual-linear foot pedal was comparable to that of a conventional pedal in terms of endothelial cell loss, central corneal thickness, and surgical complications.

摘要

背景

本研究的目的是比较白内障手术中双线性脚踏控制与传统脚踏控制在安全性和有效性方面的早期临床结果。

方法

这是一项配对眼对侧的回顾性观察研究。每位患者双眼均接受白内障手术:一只眼采用双线性脚踏控制(研究组),另一只眼采用传统脚踏控制(对照组)。分析并比较绝对超声乳化时间(APT)、平均超声乳化功率、有效超声乳化时间(EPT)和手术并发症。术前及术后1周、1个月和3个月测量角膜内皮细胞计数、角膜厚度、角膜体积和最佳矫正远视力(BCDVA)。

结果

共纳入94例患者(188只眼)。研究组的APT、平均超声乳化功率和EPT值分别为7.05±5.31秒、28.4±1.00和2.05±1.56秒,对照组分别为6.82±6.48秒、18.9±1.74和1.35±1.35秒。

结论

研究组的平均超声乳化功率和EPT值显著更高。在角膜内皮细胞损失、中央角膜厚度和手术并发症方面,双线性脚踏板的安全性与传统脚踏板相当。

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