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Enlargement of incision width during phacoemulsification and folded intraocular lens implant surgery.

Identifieur interne : 002074 ( PubMed/Corpus ); précédent : 002073; suivant : 002075

Enlargement of incision width during phacoemulsification and folded intraocular lens implant surgery.

Auteurs : R F Steinert ; J. Deacon

Source :

RBID : pubmed:8594505

English descriptors

Abstract

The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.

PubMed: 8594505

Links to Exploration step

pubmed:8594505

Le document en format XML

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<title xml:lang="en">Enlargement of incision width during phacoemulsification and folded intraocular lens implant surgery.</title>
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<name sortKey="Steinert, R F" sort="Steinert, R F" uniqKey="Steinert R" first="R F" last="Steinert">R F Steinert</name>
<affiliation>
<nlm:affiliation>Center for Eye Research, Ophthalmic Consultants of Boston, Boston, MA 02114, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Deacon, J" sort="Deacon, J" uniqKey="Deacon J" first="J" last="Deacon">J. Deacon</name>
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<title xml:lang="en">Enlargement of incision width during phacoemulsification and folded intraocular lens implant surgery.</title>
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<name sortKey="Steinert, R F" sort="Steinert, R F" uniqKey="Steinert R" first="R F" last="Steinert">R F Steinert</name>
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<nlm:affiliation>Center for Eye Research, Ophthalmic Consultants of Boston, Boston, MA 02114, USA.</nlm:affiliation>
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<name sortKey="Deacon, J" sort="Deacon, J" uniqKey="Deacon J" first="J" last="Deacon">J. Deacon</name>
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<title level="j">Ophthalmology</title>
<idno type="ISSN">0161-6420</idno>
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<term>Humans</term>
<term>Lenses, Intraocular (adverse effects)</term>
<term>Phacoemulsification (adverse effects)</term>
<term>Silicone Elastomers</term>
<term>Sutures</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Silicone Elastomers</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lenses, Intraocular</term>
<term>Phacoemulsification</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Sutures</term>
<term>Wound Healing</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.</div>
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<Year>1996</Year>
<Month>04</Month>
<Day>11</Day>
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<Day>17</Day>
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<Volume>103</Volume>
<Issue>2</Issue>
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<Year>1996</Year>
<Month>Feb</Month>
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<Title>Ophthalmology</Title>
<ISOAbbreviation>Ophthalmology</ISOAbbreviation>
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<ArticleTitle>Enlargement of incision width during phacoemulsification and folded intraocular lens implant surgery.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The authors investigated the dimensional stability of incisions during phacoemulsification and small-incision intraocular lens (IOL) implantation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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 the incision before IOL insertion did not eliminate even further incision expansion during the IOL insertion.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
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<DescriptorName MajorTopicYN="N" UI="D018918">Phacoemulsification</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName>
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<DescriptorName MajorTopicYN="Y" UI="D012826">Silicone Elastomers</DescriptorName>
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