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Updated: May 30, 2026
04:59
Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
[Intelligent phaco--always necessary?]
Oftalmologia (Bucharest, Romania : 1990)
|July 22, 2011
Summary
For soft cataracts, using the Intracorneal Pressure (IP) system during phacoemulsification surgery may increase complications. Avoiding the IP system in these cases appears to yield better outcomes for cataract surgery.
Area of Science:
- Ophthalmology
- Surgical Technology
Context:
- Cataract surgery techniques are evolving.
- Phacoemulsification is a common method for cataract removal.
- The use of Intracorneal Pressure (IP) systems during surgery is debated.
Purpose:
- To evaluate the necessity and impact of using an IP system during phacoemulsification for soft cataracts.
- To compare surgical outcomes with and without the IP system in soft cataract cases.
Summary:
- A prospective study compared 40 eyes with soft cataracts undergoing phacoemulsification.
- Twenty eyes used low torsional ultrasound power with the IP system, while 20 used higher power without it.
- Outcomes measured included Central Macular Edema (CME) and corneal edema.
Impact:
- Phacoemulsification with the IP system showed higher average CME (3.6) and maximum CME (7.2) compared to without (2.4 and 4.3).
- Four eyes using the IP system developed Descemet folds, whereas no corneal edema was observed in the other group.
- Findings suggest avoiding the IP system in soft cataract surgery may reduce complications.
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