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Early changes in retinal microcirculation after uncomplicated cataract surgery using an active-fluidics system.

Yinying Zhao1, Dandan Wang1, Li Nie1

  • 1Eye Hospital of Wenzhou Medical University at hanghzou, 618 Fengqi east Road, Hangzhou, 310000, Zhejiang, China.

International Ophthalmology
|February 6, 2021
PubMed
Summary

The active-fluidics system better protected retinal vasculature and microcirculation after cataract surgery compared to gravity-fluidics. This system improved surgical efficacy while preserving retinal thickness and vessel density.

Keywords:
Active-fluidicsCataract surgeryOptical coherence tomography angiographyRetinal microcirculation

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Area of Science:

  • Ophthalmology
  • Retinal Imaging
  • Surgical Technology

Background:

  • Cataract surgery can impact retinal microcirculation.
  • Evaluating fluidics systems is crucial for optimizing surgical outcomes and patient safety.

Purpose of the Study:

  • To assess early changes in retinal microcirculation following uncomplicated cataract surgery.
  • To compare the effects of active-fluidics versus gravity-fluidics systems on the retina.

Main Methods:

  • A randomized study comparing active-fluidics and gravity-fluidics systems in cataract surgery.
  • Optical coherence tomography angiography (OCTA) was used to evaluate retinal microcirculation and thickness.
  • Follow-up assessments were conducted at 1, 7, 30, and 90 days post-surgery.

Main Results:

  • The active-fluidics group showed lower cumulative dissipated energy, estimated fluid usage, and aspiration time.
  • Superficial parafoveal vessel density increased post-surgery in both groups, with more fluctuation in the gravity-fluidics group.
  • Retinal thickness in the macular region significantly changed in the gravity-fluidics group but remained stable with active-fluidics.

Conclusions:

  • Gravity-fluidics infusion systems can disturb retinal microcirculation and thickness post-cataract surgery.
  • The active-fluidics system enhances surgical efficiency and protects retinal vasculature during the procedure.