Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery

AIM: To compare perioperative parameters of one-handed rotational phacoemulsification technique (one-handed phaco-roll) with each of other two techniques, “Divide et Conquer” and femtosecond laser-assisted cataract surgery (FLACS) METHODS: In this retrospective and comparative cohort study, eyes wit...

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Autores principales:	Samuele Gigliola, Giancarlo Sborgia, Alfredo Niro, Carmela Palmisano, Pasquale Puzo, Gianluigi Giuliani, Luigi Sborgia, Dario Sisto, Valentina Pastore, Claudio Furino, Rossella Donghia, Alessandra Sborgia, Francesco Boscia, Giovanni Alessio
Formato:	article
Lenguaje:	EN
Publicado:	Press of International Journal of Ophthalmology (IJO PRESS) 2021
Materias:	cataract surgery phaco-rolling one-handed phacoemulsification divide et conquer femtosecond laser-assisted cataract surgery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/9075c5a4401d484c9543bf25ba97f77c
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spelling	oai:doaj.org-article:9075c5a4401d484c9543bf25ba97f77c2021-11-26T04:02:12ZComparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery2222-39592227-489810.18240/ijo.2021.12.09https://doaj.org/article/9075c5a4401d484c9543bf25ba97f77c2021-12-01T00:00:00Zhttp://ies.ijo.cn/en_publish/2021/12/20211209.pdfhttps://doaj.org/toc/2222-3959https://doaj.org/toc/2227-4898AIM: To compare perioperative parameters of one-handed rotational phacoemulsification technique (one-handed phaco-roll) with each of other two techniques, “Divide et Conquer” and femtosecond laser-assisted cataract surgery (FLACS) METHODS: In this retrospective and comparative cohort study, eyes with uncomplicated cataract (nuclear density grade 2 to 3) treated routinely with one-handed phaco-roll (n=23; Group 1) or “Divide et Conquer” (n=23; Group 2) or FLACS (n=23; Group 3) were enrolled. Intraoperative parameters including effective phaco-time (EPt), ultrasound time (USt), aspiration time, surgical time, phacoemulsification (phaco)-power, balanced salt solution (BSS) use, cumulative dissipated energy (CDE) were recorded and compared. Clinical outcomes including best corrected visual acuity (BCVA), corneal endothelial cell density (ECD), endothelial cell loss (ECL), central corneal thickness (CCT) and central macular thickness (CMT), were assessed and compared pre-operatively and at 1mo after surgery. RESULTS: Aspiration and surgical time, and BSS used were lower in Group 1 (P<0.01) than other groups. EPt, phaco-power and CDE were lower in Group 1 (P<0.05) than Group 2 but not significantly different from Group 3. In Group 1, USt was lower (P<0.05) than Group 2 but higher (P<0.05) than Group 3. BCVA improved in all groups without significant difference between Group 1 and the other ones. No significant differences regarding all post-operative morphologic outcomes (ECD, ECL, CCT, CMT) were reported. No clinical complications occurred. CONCLUSION: One-handed phaco-roll seems to be less time-consuming than “Divide et Conquer” and FLACS and less energy-consuming than “Divide et Conquer”. Furthermore, one-handed phaco-roll seems to have an equal safety profile compared to the other two techniques.Samuele GigliolaGiancarlo SborgiaAlfredo NiroCarmela PalmisanoPasquale PuzoGianluigi GiulianiLuigi SborgiaDario SistoValentina PastoreClaudio FurinoRossella DonghiaAlessandra SborgiaFrancesco BosciaGiovanni AlessioPress of International Journal of Ophthalmology (IJO PRESS)articlecataract surgeryphaco-rollingone-handed phacoemulsificationdivide et conquerfemtosecond laser-assisted cataract surgeryOphthalmologyRE1-994ENInternational Journal of Ophthalmology, Vol 14, Iss 12, Pp 1868-1875 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract surgery phaco-rolling one-handed phacoemulsification divide et conquer femtosecond laser-assisted cataract surgery Ophthalmology RE1-994
spellingShingle	cataract surgery phaco-rolling one-handed phacoemulsification divide et conquer femtosecond laser-assisted cataract surgery Ophthalmology RE1-994 Samuele Gigliola Giancarlo Sborgia Alfredo Niro Carmela Palmisano Pasquale Puzo Gianluigi Giuliani Luigi Sborgia Dario Sisto Valentina Pastore Claudio Furino Rossella Donghia Alessandra Sborgia Francesco Boscia Giovanni Alessio Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery
description	AIM: To compare perioperative parameters of one-handed rotational phacoemulsification technique (one-handed phaco-roll) with each of other two techniques, “Divide et Conquer” and femtosecond laser-assisted cataract surgery (FLACS) METHODS: In this retrospective and comparative cohort study, eyes with uncomplicated cataract (nuclear density grade 2 to 3) treated routinely with one-handed phaco-roll (n=23; Group 1) or “Divide et Conquer” (n=23; Group 2) or FLACS (n=23; Group 3) were enrolled. Intraoperative parameters including effective phaco-time (EPt), ultrasound time (USt), aspiration time, surgical time, phacoemulsification (phaco)-power, balanced salt solution (BSS) use, cumulative dissipated energy (CDE) were recorded and compared. Clinical outcomes including best corrected visual acuity (BCVA), corneal endothelial cell density (ECD), endothelial cell loss (ECL), central corneal thickness (CCT) and central macular thickness (CMT), were assessed and compared pre-operatively and at 1mo after surgery. RESULTS: Aspiration and surgical time, and BSS used were lower in Group 1 (P<0.01) than other groups. EPt, phaco-power and CDE were lower in Group 1 (P<0.05) than Group 2 but not significantly different from Group 3. In Group 1, USt was lower (P<0.05) than Group 2 but higher (P<0.05) than Group 3. BCVA improved in all groups without significant difference between Group 1 and the other ones. No significant differences regarding all post-operative morphologic outcomes (ECD, ECL, CCT, CMT) were reported. No clinical complications occurred. CONCLUSION: One-handed phaco-roll seems to be less time-consuming than “Divide et Conquer” and FLACS and less energy-consuming than “Divide et Conquer”. Furthermore, one-handed phaco-roll seems to have an equal safety profile compared to the other two techniques.
format	article
author	Samuele Gigliola Giancarlo Sborgia Alfredo Niro Carmela Palmisano Pasquale Puzo Gianluigi Giuliani Luigi Sborgia Dario Sisto Valentina Pastore Claudio Furino Rossella Donghia Alessandra Sborgia Francesco Boscia Giovanni Alessio
author_facet	Samuele Gigliola Giancarlo Sborgia Alfredo Niro Carmela Palmisano Pasquale Puzo Gianluigi Giuliani Luigi Sborgia Dario Sisto Valentina Pastore Claudio Furino Rossella Donghia Alessandra Sborgia Francesco Boscia Giovanni Alessio
author_sort	Samuele Gigliola
title	Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery
title_short	Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery
title_full	Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery
title_fullStr	Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery
title_full_unstemmed	Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery
title_sort	comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery
publisher	Press of International Journal of Ophthalmology (IJO PRESS)
publishDate	2021
url	https://doaj.org/article/9075c5a4401d484c9543bf25ba97f77c
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Comparison of perioperative parameters in one-handed rotational phacoemulsification versus conventional phacoemulsification and femtosecond laser-assisted cataract surgery

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