Surgical Efficiency Comparison Between Two Phacoemulsification Systems
Marta Ibarz-Barberá1, Paz Orts-Vila2, Fátima Martínez-Galdón1
1Cataract and Refractive Surgery Department, Madrid, Spain.
Clinical Ophthalmology (Auckland, N.Z.)
|May 6, 2024
Summary
The R-Evo Smart phacoemulsification system demonstrated greater surgical efficiency in cataract surgery compared to the Centurion Vision System. This was evidenced by significantly reduced ultrasound time during lens removal, indicating a more effective procedure.
Area of Science:
- Ophthalmology
- Surgical Technology
- Medical Devices
Background:
- Cataract surgery is a common procedure to restore vision.
- Phacoemulsification systems are crucial for efficient lens removal.
- Comparing surgical efficiency between different phacoemulsification platforms is essential for optimizing surgical outcomes.
Purpose of the Study:
- To compare the surgical efficiency of the R-Evo Smart phacoemulsification system against the Centurion Vision System.
- To evaluate intraoperative outcomes, including ultrasound time and fluid usage, in cataract surgery.
Main Methods:
- A prospective, consecutive-comparative study was conducted across two private practice sites.
- Three hundred and one eyes underwent cataract surgery using either the R-Evo Smart or Centurion Vision System.
- Preoperative cataract severity (LOCS III grading) and intraoperative metrics (ultrasound time, fluid aspiration) were recorded.
Main Results:
- The R-Evo Smart system showed significantly lower mean total ultrasound time (18.99 ± 12.85 seconds) compared to the Centurion Vision System (40.24 ± 21.91 seconds) (p < 0.01).
- Fluid aspiration/drainage bag weighting was comparable between the two systems (p = 0.21).
- No adverse events were reported in either group.
Conclusions:
- The R-Evo Smart phacoemulsification system is a highly efficient platform for cataract surgery.
- Objective measurements, particularly reduced ultrasound time, support the R-Evo Smart's efficiency compared to the Centurion Vision System.
- The findings suggest R-Evo Smart as an effective alternative for lens removal in cataract procedures.


