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Effect of heparin in irrigating solution on inflammation following small incision cataract surgery

Identifieur interne : 003388 ( Istex/Corpus ); précédent : 003387; suivant : 003389

Effect of heparin in irrigating solution on inflammation following small incision cataract surgery

Auteurs : Thomas Kohnen ; Burkhard Dick ; Volker Hessemer ; Douglas D. Koch ; Karl W. Jacobi

Source :

RBID : ISTEX:7E52EADE8B689583C8D589A897187B6540936DEC

Abstract

Purpose: To study the effect of heparin-sodium added to the irrigating solution on postoperative inflammation in patients having cataract surgery.Setting: Department of Ophthalmology, University of Giessen, Giessen, Germany.Methods: Seventy-two patients having phacoemulsification with posterior chamber intraocular lens (IOL) implantation were randomly assigned to receive regular irrigating solution or solution with heparin-sodium (final diluted concentration 10 IU/mL). In half the patients, poly(methyi methacrylate) (PMMA) IOLs were implanted and in half, foldable silicone IOLs. The patients were examined preoperatively, on days 1 and 3, and 1 year postoperatively. Postoperative inflammation was objectively evaluated by measurement of flare and cells using laser flare-cell photometry.Results: The mean postoperative flare values were significantly lower in the groups with additional heparin-sodium at days 1 and 3 (P < .01). Flare values were not significantly different 1 year postoperatively. Cell values for the heparin-treated groups were lower, but the difference did not reach statistical significance. Flare and cells values for the two IOL materials were not significantly different during the entire follow-up.Conclusion: Heparin-sodium added to the infusion solution during small incision cataract surgery reduced inflammation in the early postoperative period.

Url:
DOI: 10.1016/S0886-3350(98)80205-8

Links to Exploration step

ISTEX:7E52EADE8B689583C8D589A897187B6540936DEC

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<ce:bold>
<ce:italic>Setting:</ce:italic>
</ce:bold>
Department of Ophthalmology, University of Giessen, Giessen, Germany.</ce:simple-para>
<ce:simple-para id="SP0015">
<ce:bold>
<ce:italic>Methods:</ce:italic>
</ce:bold>
Seventy-two patients having phacoemulsification with posterior chamber intraocular lens (IOL) implantation were randomly assigned to receive regular irrigating solution or solution with heparin-sodium (final diluted concentration 10 IU/mL). In half the patients, poly(methyi methacrylate) (PMMA) IOLs were implanted and in half, foldable silicone IOLs. The patients were examined preoperatively, on days 1 and 3, and 1 year postoperatively. Postoperative inflammation was objectively evaluated by measurement of flare and cells using laser flare-cell photometry.</ce:simple-para>
<ce:simple-para id="SP0020">
<ce:bold>
<ce:italic>Results:</ce:italic>
</ce:bold>
The mean postoperative flare values were significantly lower in the groups with additional heparin-sodium at days 1 and 3 (
<ce:italic>P</ce:italic>
< .01). Flare values were not significantly different 1 year postoperatively. Cell values for the heparin-treated groups were lower, but the difference did not reach statistical significance. Flare and cells values for the two IOL materials were not significantly different during the entire follow-up.</ce:simple-para>
<ce:simple-para id="SP0025">
<ce:bold>
<ce:italic>Conclusion:</ce:italic>
</ce:bold>
Heparin-sodium added to the infusion solution during small incision cataract surgery reduced inflammation in the early postoperative period.</ce:simple-para>
</ce:abstract-sec>
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<title>Effect of heparin in irrigating solution on inflammation following small incision cataract surgery</title>
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<title>Effect of heparin in irrigating solution on inflammation following small incision cataract surgery</title>
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<name type="personal">
<namePart type="given">Thomas</namePart>
<namePart type="family">Kohnen</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Ophthalmology, University of Giessen, Giessen, Germany</affiliation>
<affiliation>Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA</affiliation>
<affiliation>Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt, Germany</affiliation>
<affiliation>Reprint requests to Thomas Kohnen, MD, Johann Wolfgang Goethe-University, Department of Ophthalmology, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.</affiliation>
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<namePart type="given">Burkhard</namePart>
<namePart type="family">Dick</namePart>
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<affiliation>Department of Ophthalmology, University of Giessen, Giessen, Germany</affiliation>
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<name type="personal">
<namePart type="given">Volker</namePart>
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<affiliation>Department of Ophthalmology, University of Giessen, Giessen, Germany</affiliation>
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<name type="personal">
<namePart type="given">Douglas D.</namePart>
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<affiliation>Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA</affiliation>
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<name type="personal">
<namePart type="given">Karl W.</namePart>
<namePart type="family">Jacobi</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Ophthalmology, University of Giessen, Giessen, Germany</affiliation>
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<abstract lang="en">Purpose: To study the effect of heparin-sodium added to the irrigating solution on postoperative inflammation in patients having cataract surgery.Setting: Department of Ophthalmology, University of Giessen, Giessen, Germany.Methods: Seventy-two patients having phacoemulsification with posterior chamber intraocular lens (IOL) implantation were randomly assigned to receive regular irrigating solution or solution with heparin-sodium (final diluted concentration 10 IU/mL). In half the patients, poly(methyi methacrylate) (PMMA) IOLs were implanted and in half, foldable silicone IOLs. The patients were examined preoperatively, on days 1 and 3, and 1 year postoperatively. Postoperative inflammation was objectively evaluated by measurement of flare and cells using laser flare-cell photometry.Results: The mean postoperative flare values were significantly lower in the groups with additional heparin-sodium at days 1 and 3 (P < .01). Flare values were not significantly different 1 year postoperatively. Cell values for the heparin-treated groups were lower, but the difference did not reach statistical significance. Flare and cells values for the two IOL materials were not significantly different during the entire follow-up.Conclusion: Heparin-sodium added to the infusion solution during small incision cataract surgery reduced inflammation in the early postoperative period.</abstract>
<note>Supported by grants from the Deutsche Forschungsgemeinschaft (DFGKo 159511-1 and 1-2) and Research to Prevent Blindness, Inc., New York, New York, USA. None of the authors has a commercial, proprietary, or financial interest in any product or company mentioned.</note>
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<title>Journal of Cataract & Refractive Surgery</title>
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<dateIssued encoding="w3cdtf">199802</dateIssued>
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<identifier type="ISSN">0886-3350</identifier>
<identifier type="PII">S0886-3350(98)X8183-6</identifier>
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<detail type="volume">
<number>24</number>
<caption>vol.</caption>
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<detail type="issue">
<number>2</number>
<caption>no.</caption>
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<extent unit="issue pages">
<start>143</start>
<end>284</end>
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<extent unit="pages">
<start>237</start>
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<identifier type="DOI">10.1016/S0886-3350(98)80205-8</identifier>
<identifier type="PII">S0886-3350(98)80205-8</identifier>
<identifier type="ArticleID">80205</identifier>
<accessCondition type="use and reproduction" contentType="">© 1998American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</accessCondition>
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