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Is Laser Assisted Capsulotomy better than standard CCC?

机译:激光辅助切囊术更好吗比标准的CCC好吗?

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摘要

>Objectives: To compare the safety and intraoperative difficulties of two capsulorhexis techniques for white intumescent cataract: Femtolaser-assisted capsulorhexis and manual capsulorhexis performed in 2-3 stages, with the Utrata forceps.>Materials and methods: A prospective comparative study that included 28 eyes divided into 2 equal groups in which capsulorhexis was performed by using the 2 methods. In the first group, the capsulorhexis was executed by using LenSx Femtolaser. In the second group, an Utrata forceps was used to perform a manual 2-3 steps capsulorhexis as follows: a small 2-3 mm capsulorhexis was performed after the staining of the anterior capsule with Trypan Blue along with a good pressurization with viscoelastic substance. The liquefied cortex was aspirated, followed by the enlargement of the capsulorhexis. In some cases, the enlargement was made after IOL implantation. >Results: In the Femtolaser group, the capsule was completely detached in 13 cases and only in one case, the capsule had a few bridges which detached easily, without endangering the capsulorhexis integrity. Its size was 4,9 mm in all cases. In the group in which capsulorhexis was performed with the Utrata forceps in 2-3 stages, this was complete, circular and relatively well centered in all cases, but the size varied between 4,5 and 5,5 mm.>Conclusions: Femtosecond laser-assisted capsulorhexis was round, well centered and of a desired size of 4,9 mm. The manual capsulorhexis with the Utrata forceps depends on the surgeon’s skill and experience and requires a good local anesthesia, the coloring of the anterior capsule with Tripan Blue, using a large quantity of cohesive viscoelastic substances and sometimes using micro incision forceps for helpful maneuvers. The size and centering of the capsulorhexis are not always identical with the intended ones.
机译:>目的:比较两种囊肿性白内障白内障的安全性和术中困难:使用Utrata钳在2-3个阶段中进行的Femtolaser辅助囊肿性皮炎和手动囊肿性白内障。>材料和方法:一项前瞻性比较研究包括28只眼睛,分为2个相等的组,其中使用2种方法进行了撕囊术。在第一组中,撕囊术是使用LenSx Femtolaser执行的。在第二组中,使用Utrata钳按以下步骤手动进行2-3步撕囊术:在用锥虫蓝对前囊进行染色并用粘弹性物质很好地加压后,进行小2-3 mm的撕囊术。吸出液化的皮质,然后扩大撕囊。在某些情况下,扩大是在人工晶体植入后进行的。 >结果:在Femtolaser组中,囊完全脱离了13例,只有1例,囊中有一些桥很容易脱离,而没有危害撕囊的完整性。在所有情况下,其尺寸均为4.9毫米。在用2-3根Utrata钳进行撕囊术的组中,该组织是完整的,圆形的,并且在所有情况下都相对居中,但大小在4,5至5,5 mm之间变化。>结论: 飞秒激光辅助的撕囊术是圆形的,居中的并且期望的尺寸为4.9毫米。带有Utrata钳的人工撕囊术取决于外科医生的技能和经验,并且需要良好的局部麻醉,使用Tripan Blue对前囊进行着色,使用大量粘性粘弹性物质以及有时使用微切口钳进行有益的操作。撕囊的大小和中心并不总是与预期的一致。

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