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Enlargement of Incision Width during Phacoemulsification and Folded Intraocular Lens Implant Surgery

Identifieur interne : 004251 ( Istex/Corpus ); précédent : 004250; suivant : 004252

Enlargement of Incision Width during Phacoemulsification and Folded Intraocular Lens Implant Surgery

Auteurs : Roger F. Steinert ; Jim Deacon

Source :

RBID : ISTEX:B3CD84EA955B141BA882F26F5C01E01FEEF43564

Abstract

Purpose: The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.Methods: Forty-six eyes undergoing temporal clear corneal phacoemulsification and folded silicone IOL implantation were measured with an internal-incision gauge after initial keratome entry, cataract removal, and folded IOL implantation.Results: The initial incision created by a diamond keratome was wider than the physical keratome width by a mean of 0.16 mm. After completion of phacoemulsification and irrigation/aspiration, the incision further widened by a mean of 0.09 mm. Both forceps insertion of a three-piece silicone IOL and injector insertion of a plate haptic silicone IOL resulted in further incision enlargement by a mean of 0.26 mm. Widening of the incision before IOL insertion did not eliminate even further incision expansion during the IOL insertion.Conclusions: The phacoemulsification incision enlarges at each step of the procedure. Irreversible incision stretching or incision tearing occurs, rather than reversible elastic incision deformation. Clinical studies that assume the initial keratome size equals the final incision size may be erroneous.

Url:
DOI: 10.1016/S0161-6420(96)30713-6

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ISTEX:B3CD84EA955B141BA882F26F5C01E01FEEF43564

Le document en format XML

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<div type="abstract">Purpose: The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.Methods: Forty-six eyes undergoing temporal clear corneal phacoemulsification and folded silicone IOL implantation were measured with an internal-incision gauge after initial keratome entry, cataract removal, and folded IOL implantation.Results: The initial incision created by a diamond keratome was wider than the physical keratome width by a mean of 0.16 mm. After completion of phacoemulsification and irrigation/aspiration, the incision further widened by a mean of 0.09 mm. Both forceps insertion of a three-piece silicone IOL and injector insertion of a plate haptic silicone IOL resulted in further incision enlargement by a mean of 0.26 mm. Widening of the incision before IOL insertion did not eliminate even further incision expansion during the IOL insertion.Conclusions: The phacoemulsification incision enlarges at each step of the procedure. Irreversible incision stretching or incision tearing occurs, rather than reversible elastic incision deformation. Clinical studies that assume the initial keratome size equals the final incision size may be erroneous.</div>
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<abstract>Purpose: The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.Methods: Forty-six eyes undergoing temporal clear corneal phacoemulsification and folded silicone IOL implantation were measured with an internal-incision gauge after initial keratome entry, cataract removal, and folded IOL implantation.Results: The initial incision created by a diamond keratome was wider than the physical keratome width by a mean of 0.16 mm. After completion of phacoemulsification and irrigation/aspiration, the incision further widened by a mean of 0.09 mm. Both forceps insertion of a three-piece silicone IOL and injector insertion of a plate haptic silicone IOL resulted in further incision enlargement by a mean of 0.26 mm. Widening of the incision before IOL insertion did not eliminate even further incision expansion during the IOL insertion.Conclusions: The phacoemulsification incision enlarges at each step of the procedure. Irreversible incision stretching or incision tearing occurs, rather than reversible elastic incision deformation. Clinical studies that assume the initial keratome size equals the final incision size may be erroneous.</abstract>
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<p>Purpose: The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.Methods: Forty-six eyes undergoing temporal clear corneal phacoemulsification and folded silicone IOL implantation were measured with an internal-incision gauge after initial keratome entry, cataract removal, and folded IOL implantation.Results: The initial incision created by a diamond keratome was wider than the physical keratome width by a mean of 0.16 mm. After completion of phacoemulsification and irrigation/aspiration, the incision further widened by a mean of 0.09 mm. Both forceps insertion of a three-piece silicone IOL and injector insertion of a plate haptic silicone IOL resulted in further incision enlargement by a mean of 0.26 mm. Widening of the incision before IOL insertion did not eliminate even further incision expansion during the IOL insertion.Conclusions: The phacoemulsification incision enlarges at each step of the procedure. Irreversible incision stretching or incision tearing occurs, rather than reversible elastic incision deformation. Clinical studies that assume the initial keratome size equals the final incision size may be erroneous.</p>
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<ce:note-para id="ntp005">Presented in part at the American Society of Cataract and Refractive Surgery Annual Meeting, San Diego, April 1995</ce:note-para>
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<ce:title id="ttl005">Enlargement of Incision Width during Phacoemulsification and Folded Intraocular Lens Implant Surgery</ce:title>
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<ce:given-name>Roger F.</ce:given-name>
<ce:surname>Steinert</ce:surname>
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<ce:given-name>Jim</ce:given-name>
<ce:surname>Deacon</ce:surname>
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<ce:text>Reprint requests to Roger F. Steinert, MD, Ophthalmic Consultants of Boston, 50 Staniford St, Boston, MA 02114.</ce:text>
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<ce:bold>
<ce:italic>Purpose:</ce:italic>
</ce:bold>
The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.</ce:simple-para>
<ce:simple-para id="SP0010">
<ce:bold>
<ce:italic>Methods:</ce:italic>
</ce:bold>
Forty-six eyes undergoing temporal clear corneal phacoemulsification and folded silicone IOL implantation were measured with an internal-incision gauge after initial keratome entry, cataract removal, and folded IOL implantation.</ce:simple-para>
<ce:simple-para id="SP0015">
<ce:bold>
<ce:italic>Results:</ce:italic>
</ce:bold>
The initial incision created by a diamond keratome was wider than the physical keratome width by a mean of 0.16 mm. After completion of phacoemulsification and irrigation/aspiration, the incision further widened by a mean of 0.09 mm. Both forceps insertion of a three-piece silicone IOL and injector insertion of a plate haptic silicone IOL resulted in further incision enlargement by a mean of 0.26 mm. Widening of the incision before IOL insertion did not eliminate even further incision expansion during the IOL insertion.</ce:simple-para>
<ce:simple-para id="SP0020">
<ce:bold>
<ce:italic>Conclusions:</ce:italic>
</ce:bold>
The phacoemulsification incision enlarges at each step of the procedure. Irreversible incision stretching or incision tearing occurs, rather than reversible elastic incision deformation. Clinical studies that assume the initial keratome size equals the final incision size may be erroneous.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
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<ce:bibliography id="R0005">
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<title>Enlargement of Incision Width during Phacoemulsification and Folded Intraocular Lens Implant Surgery</title>
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<title>Enlargement of Incision Width during Phacoemulsification and Folded Intraocular Lens Implant Surgery</title>
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<name type="personal">
<namePart type="given">Roger F.</namePart>
<namePart type="family">Steinert</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Center for Eye Research, Ophthalmic Consultants of Boston, Boston</affiliation>
<description>Reprint requests to Roger F. Steinert, MD, Ophthalmic Consultants of Boston, 50 Staniford St, Boston, MA 02114.</description>
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<name type="personal">
<namePart type="given">Jim</namePart>
<namePart type="family">Deacon</namePart>
<namePart type="termsOfAddress">MS</namePart>
<affiliation>Allergan, AMO Surgical Products, Irvine, California</affiliation>
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<dateCaptured encoding="w3cdtf">1995-07-12</dateCaptured>
<dateModified encoding="w3cdtf">1995-11-14</dateModified>
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<abstract>Purpose: The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.Methods: Forty-six eyes undergoing temporal clear corneal phacoemulsification and folded silicone IOL implantation were measured with an internal-incision gauge after initial keratome entry, cataract removal, and folded IOL implantation.Results: The initial incision created by a diamond keratome was wider than the physical keratome width by a mean of 0.16 mm. After completion of phacoemulsification and irrigation/aspiration, the incision further widened by a mean of 0.09 mm. Both forceps insertion of a three-piece silicone IOL and injector insertion of a plate haptic silicone IOL resulted in further incision enlargement by a mean of 0.26 mm. Widening of the incision before IOL insertion did not eliminate even further incision expansion during the IOL insertion.Conclusions: The phacoemulsification incision enlarges at each step of the procedure. Irreversible incision stretching or incision tearing occurs, rather than reversible elastic incision deformation. Clinical studies that assume the initial keratome size equals the final incision size may be erroneous.</abstract>
<note>Presented in part at the American Society of Cataract and Refractive Surgery Annual Meeting, San Diego, April 1995</note>
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<dateIssued encoding="w3cdtf">199602</dateIssued>
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<identifier type="ISSN">0161-6420</identifier>
<identifier type="PII">S0161-6420(07)X6203-1</identifier>
<part>
<detail type="volume">
<number>103</number>
<caption>vol.</caption>
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<detail type="issue">
<number>2</number>
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<identifier type="PII">S0161-6420(96)30713-6</identifier>
<identifier type="ArticleID">30542</identifier>
<accessCondition type="use and reproduction" contentType="">© 1996American Academy of Ophthalmology, Inc</accessCondition>
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