Safety and Efficacy of Micro-Incisional Cataract Surgery with Bimanual Phacoemulsification for White Mature Cataract
Background: To evaluate the safety and efficacy of micro-incisional cataract surgery (MICS) with bimanual phacoemulsification for the management of white mature cataract. Methods: Twenty-five eyes in 25 patients with mature cataract were prospectively recruited to undergo MICS with bimanual phacoemu...
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| Veröffentlicht in: | Ophthalmologica (Basel) 2007-01, Vol.221 (1), p.24-28 |
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| creator | Wong, Victoria W.Y. Lai, Timothy Y.Y. Lee, Gary K.Y. Lam, Philip T.H. Lam, Dennis S.C. |
| description | Background: To evaluate the safety and efficacy of micro-incisional cataract surgery (MICS) with bimanual phacoemulsification for the management of white mature cataract. Methods: Twenty-five eyes in 25 patients with mature cataract were prospectively recruited to undergo MICS with bimanual phacoemulsification. Serial changes in best-corrected visual acuity (BCVA), central corneal thickness (CCT) and endothelial cell density (ECD) were compared using the Wilcoxon signed-rank test. Results: MICS was successfully performed in 24 (96%) of the 25 eyes, with 1 eye requiring conversion to extracapsular cataract extraction due to radial tear during continuous curvilinear capsulorhexis. The median preoperative BCVA was hand movement. On day 1 postoperatively, the median BCVA improved to 0.6 (p < 0.001 compared with baseline). All patients had BCVA of 0.6 or better at 3 months after surgery (p < 0.001 compared with baseline). The mean increase in CCT at day 1 and week 1 postoperatively was 11.5 and 7.1%, respectively. The change in mean CCT was no longer significant at month 3 postoperatively (p = 0.82). The mean reduction in ECD at 3 months postoperatively was 7.8% (p = 0.037). None of the patients developed any postoperative complications. Conclusions: MICS with bimanual phacoemulsification appeared to be a promising alterative for the management of white mature cataract. |
| doi_str_mv | 10.1159/000096518 |
| format | Article |
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Methods: Twenty-five eyes in 25 patients with mature cataract were prospectively recruited to undergo MICS with bimanual phacoemulsification. Serial changes in best-corrected visual acuity (BCVA), central corneal thickness (CCT) and endothelial cell density (ECD) were compared using the Wilcoxon signed-rank test. Results: MICS was successfully performed in 24 (96%) of the 25 eyes, with 1 eye requiring conversion to extracapsular cataract extraction due to radial tear during continuous curvilinear capsulorhexis. The median preoperative BCVA was hand movement. On day 1 postoperatively, the median BCVA improved to 0.6 (p < 0.001 compared with baseline). All patients had BCVA of 0.6 or better at 3 months after surgery (p < 0.001 compared with baseline). The mean increase in CCT at day 1 and week 1 postoperatively was 11.5 and 7.1%, respectively. The change in mean CCT was no longer significant at month 3 postoperatively (p = 0.82). The mean reduction in ECD at 3 months postoperatively was 7.8% (p = 0.037). None of the patients developed any postoperative complications. Conclusions: MICS with bimanual phacoemulsification appeared to be a promising alterative for the management of white mature cataract.</description><identifier>ISSN: 0030-3755</identifier><identifier>EISSN: 1423-0267</identifier><identifier>DOI: 10.1159/000096518</identifier><identifier>PMID: 17183197</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Aged ; Biological and medical sciences ; Cataract - pathology ; Humans ; Intraoperative Complications ; Lens diseases ; Lens Implantation, Intraocular ; Medical sciences ; Microsurgery - adverse effects ; Microsurgery - methods ; Middle Aged ; Miscellaneous ; Ophthalmology ; Original Paper ; Phacoemulsification - adverse effects ; Phacoemulsification - methods ; Postoperative Complications ; Prospective Studies ; Visual Acuity - physiology</subject><ispartof>Ophthalmologica (Basel), 2007-01, Vol.221 (1), p.24-28</ispartof><rights>2007 S. Karger AG, Basel</rights><rights>2007 INIST-CNRS</rights><rights>Copyright 2007 S. Karger AG, Basel.</rights><rights>Copyright S. Karger AG Dec 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-6c8328f1c39a0b8842ed4df03570450e1df1a0c5def0af6ad68bff0324c6e7603</citedby><cites>FETCH-LOGICAL-c360t-6c8328f1c39a0b8842ed4df03570450e1df1a0c5def0af6ad68bff0324c6e7603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18353703$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17183197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Victoria W.Y.</creatorcontrib><creatorcontrib>Lai, Timothy Y.Y.</creatorcontrib><creatorcontrib>Lee, Gary K.Y.</creatorcontrib><creatorcontrib>Lam, Philip T.H.</creatorcontrib><creatorcontrib>Lam, Dennis S.C.</creatorcontrib><title>Safety and Efficacy of Micro-Incisional Cataract Surgery with Bimanual Phacoemulsification for White Mature Cataract</title><title>Ophthalmologica (Basel)</title><addtitle>Ophthalmologica</addtitle><description>Background: To evaluate the safety and efficacy of micro-incisional cataract surgery (MICS) with bimanual phacoemulsification for the management of white mature cataract. Methods: Twenty-five eyes in 25 patients with mature cataract were prospectively recruited to undergo MICS with bimanual phacoemulsification. Serial changes in best-corrected visual acuity (BCVA), central corneal thickness (CCT) and endothelial cell density (ECD) were compared using the Wilcoxon signed-rank test. Results: MICS was successfully performed in 24 (96%) of the 25 eyes, with 1 eye requiring conversion to extracapsular cataract extraction due to radial tear during continuous curvilinear capsulorhexis. The median preoperative BCVA was hand movement. On day 1 postoperatively, the median BCVA improved to 0.6 (p < 0.001 compared with baseline). All patients had BCVA of 0.6 or better at 3 months after surgery (p < 0.001 compared with baseline). The mean increase in CCT at day 1 and week 1 postoperatively was 11.5 and 7.1%, respectively. The change in mean CCT was no longer significant at month 3 postoperatively (p = 0.82). The mean reduction in ECD at 3 months postoperatively was 7.8% (p = 0.037). None of the patients developed any postoperative complications. Conclusions: MICS with bimanual phacoemulsification appeared to be a promising alterative for the management of white mature cataract.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cataract - pathology</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Lens diseases</subject><subject>Lens Implantation, Intraocular</subject><subject>Medical sciences</subject><subject>Microsurgery - adverse effects</subject><subject>Microsurgery - methods</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Phacoemulsification - adverse effects</subject><subject>Phacoemulsification - methods</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>Visual Acuity - physiology</subject><issn>0030-3755</issn><issn>1423-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0UFr2zAUB3BRVta03WHnwRCDFnpw92TZknzcQtoGEjrIRo_mRZYWdY7dSTIl374KCQlUFx3eT0-8_yPkM4NbxsrqO6RTiZKpEzJiRc4zyIX8QEYAHDIuy_KMnIfwDJBwxT6SMyaZ4qySIxIXaE3cUOwaOrHWadQb2ls6d9r32bTTLri-w5aOMaJHHeli8H-N39BXF1f0p1tjN6TyrxXq3qyHNrhtk5geUdt7-rRy0dA5xsGbQ49LcmqxDebT_r4gf-4mv8cP2ezxfjr-Mcs0FxAzoRXPlWWaVwhLpYrcNEVjgZcSihIMayxD0GVjLKAV2Ai1tKmcF1oYKYBfkOtd3xff_x9MiPXaBW3aFjvTD6EWiqcY8iLBb-_gcz_4NHao87yQABJkQjc7lJIJwRtbv_g0vt_UDOrtHurDHpL9um84LNemOcp98Alc7QEGja31uI366BQvuQSe3Jed-4fb2A9g980bhC6YcA</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>Wong, Victoria W.Y.</creator><creator>Lai, Timothy Y.Y.</creator><creator>Lee, Gary K.Y.</creator><creator>Lam, Philip T.H.</creator><creator>Lam, Dennis S.C.</creator><general>Karger</general><general>S. 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Lam, Philip T.H. ; Lam, Dennis S.C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-6c8328f1c39a0b8842ed4df03570450e1df1a0c5def0af6ad68bff0324c6e7603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cataract - pathology</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>Lens diseases</topic><topic>Lens Implantation, Intraocular</topic><topic>Medical sciences</topic><topic>Microsurgery - adverse effects</topic><topic>Microsurgery - methods</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Phacoemulsification - adverse effects</topic><topic>Phacoemulsification - methods</topic><topic>Postoperative Complications</topic><topic>Prospective Studies</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Victoria W.Y.</creatorcontrib><creatorcontrib>Lai, Timothy Y.Y.</creatorcontrib><creatorcontrib>Lee, Gary K.Y.</creatorcontrib><creatorcontrib>Lam, Philip T.H.</creatorcontrib><creatorcontrib>Lam, Dennis S.C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmologica (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Victoria W.Y.</au><au>Lai, Timothy Y.Y.</au><au>Lee, Gary K.Y.</au><au>Lam, Philip T.H.</au><au>Lam, Dennis S.C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety and Efficacy of Micro-Incisional Cataract Surgery with Bimanual Phacoemulsification for White Mature Cataract</atitle><jtitle>Ophthalmologica (Basel)</jtitle><addtitle>Ophthalmologica</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>221</volume><issue>1</issue><spage>24</spage><epage>28</epage><pages>24-28</pages><issn>0030-3755</issn><eissn>1423-0267</eissn><abstract>Background: To evaluate the safety and efficacy of micro-incisional cataract surgery (MICS) with bimanual phacoemulsification for the management of white mature cataract. Methods: Twenty-five eyes in 25 patients with mature cataract were prospectively recruited to undergo MICS with bimanual phacoemulsification. Serial changes in best-corrected visual acuity (BCVA), central corneal thickness (CCT) and endothelial cell density (ECD) were compared using the Wilcoxon signed-rank test. Results: MICS was successfully performed in 24 (96%) of the 25 eyes, with 1 eye requiring conversion to extracapsular cataract extraction due to radial tear during continuous curvilinear capsulorhexis. The median preoperative BCVA was hand movement. On day 1 postoperatively, the median BCVA improved to 0.6 (p < 0.001 compared with baseline). All patients had BCVA of 0.6 or better at 3 months after surgery (p < 0.001 compared with baseline). The mean increase in CCT at day 1 and week 1 postoperatively was 11.5 and 7.1%, respectively. The change in mean CCT was no longer significant at month 3 postoperatively (p = 0.82). The mean reduction in ECD at 3 months postoperatively was 7.8% (p = 0.037). None of the patients developed any postoperative complications. Conclusions: MICS with bimanual phacoemulsification appeared to be a promising alterative for the management of white mature cataract.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>17183197</pmid><doi>10.1159/000096518</doi><tpages>5</tpages></addata></record> |
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| subjects | Aged Biological and medical sciences Cataract - pathology Humans Intraoperative Complications Lens diseases Lens Implantation, Intraocular Medical sciences Microsurgery - adverse effects Microsurgery - methods Middle Aged Miscellaneous Ophthalmology Original Paper Phacoemulsification - adverse effects Phacoemulsification - methods Postoperative Complications Prospective Studies Visual Acuity - physiology |
| title | Safety and Efficacy of Micro-Incisional Cataract Surgery with Bimanual Phacoemulsification for White Mature Cataract |
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