Safety of hydroimplantation in cataract surgery in patients with pseudoexfoliation syndrome  

作　　者：Tevfik Ogurel Reyhan Ogurel Zafer Onaran Kemal Ornek 

机构地区：[1]Department of Ophthalmology, Kirikkale University Schoolof Medicine, Kirikkale University Campus, Ankara 71100,Yahsihan, Turkey

出　　处：《International Journal of Ophthalmology(English edition)》2017年第5期723-727,共5页国际眼科杂志（英文版）

摘　　要：AIM：To evaluate the safety of hydroimplantation in cataract surgery in patients with pseudoexfoliation syndrome.METHODS：This prospective randomized study comprised 100 eyes of 100 consecutive patients who underwent cataract surgery and implantation of foldable intraocular lens（IOL）. Each eye was assigned to group 1 or group 2. Hydroimplantation without using viscoelastic agent as group 1（n=50）, and hydroxypropylmethylcellulose（Eyevisc, Biotech, India） was used in group 2（n=50）. RESULTS：There were no statistically significant differences in central corneal thickness（CCT） and corneal endothelial cell count（ECC） between both groups at each visit and percentage change in CCT and ECC（P〉0.05）. The mean intraocular pressure（IOP） at postoperative 5h increased statistically significantly in group 2（P〈0.001）. There was no statistically significant difference in IOP between two groups, before and after surgery excluding the 24 h postoperative IOP, but patients in group 2 had higher IOP than that in the group 1 at 24 h after surgery（P=0.035）. No case in either group experienced posterior capsular rupture, or zonular dialysis. Fixation of the globe during IOL implantation was better in group 1 than that in group 2.CONCLUSION：Hydroimplantation has advantages in terms of IOP changes and duration of the surgery and seems to be safe in patients with pseudoexfoliation syndrome.AIM：To evaluate the safety of hydroimplantation in cataract surgery in patients with pseudoexfoliation syndrome.METHODS：This prospective randomized study comprised 100 eyes of 100 consecutive patients who underwent cataract surgery and implantation of foldable intraocular lens（IOL）. Each eye was assigned to group 1 or group 2. Hydroimplantation without using viscoelastic agent as group 1（n=50）, and hydroxypropylmethylcellulose（Eyevisc, Biotech, India） was used in group 2（n=50）. RESULTS：There were no statistically significant differences in central corneal thickness（CCT） and corneal endothelial cell count（ECC） between both groups at each visit and percentage change in CCT and ECC（P〉0.05）. The mean intraocular pressure（IOP） at postoperative 5h increased statistically significantly in group 2（P〈0.001）. There was no statistically significant difference in IOP between two groups, before and after surgery excluding the 24 h postoperative IOP, but patients in group 2 had higher IOP than that in the group 1 at 24 h after surgery（P=0.035）. No case in either group experienced posterior capsular rupture, or zonular dialysis. Fixation of the globe during IOL implantation was better in group 1 than that in group 2.CONCLUSION：Hydroimplantation has advantages in terms of IOP changes and duration of the surgery and seems to be safe in patients with pseudoexfoliation syndrome.

关 键 词：hydroimplantation PSEUDOEXFOLIATION PHACOEMULSIFICATION 

分 类 号：R77[医药卫生—眼科]