Curved single-plane clear corneal incision made under anterior chamber collapse by aqueous humor aspiration prevents leakage after cataract surgery
Purpose To evaluate the self-sealing on curved single-plane clear corneal incisions (CCIs) after cataract surgery. The collapse of the anterior chamber was made by aspirating the aqueous humor in order to make curved single-plane CCI. Methods A retrospective study was conducted at Asai Hospital in J...
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| Veröffentlicht in: | International ophthalmology 2020-07, Vol.40 (7), p.1723-1730 |
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| creator | Zako, Masahiro Gosho, Masahiko Mizumoto, Kyoichi |
| description | Purpose
To evaluate the self-sealing on curved single-plane clear corneal incisions (CCIs) after cataract surgery. The collapse of the anterior chamber was made by aspirating the aqueous humor in order to make curved single-plane CCI.
Methods
A retrospective study was conducted at Asai Hospital in Japan. There were 189 eyes of 132 patients scheduled from February to April 2017 for single-plane CCI. There were 175 eyes of 128 patients from February to April 2018 for curved single-plane CCI. Curved single-plane CCIs were made with aqueous humor aspiration via aqueous humor pipette, and single-plane CCIs were made without the aspiration. In case of leakage of aqueous humor from the CCI at the end of surgery, sutures were used. The main outcome measure was the proportion of sutures for CCI. Secondary outcomes included CCI length and surgically induced astigmatism (SIA) magnitude.
Results
The proportions of suture in single-plane CCI and in curved single-plane CCIs were 25.4% (48/189) and 0% (0/175), respectively (
p
|
| doi_str_mv | 10.1007/s10792-020-01340-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2381849116</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2381849116</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-333773de1bd31202c7eb709bebda5dc83ef55e0aad110d619c89fff10c3d2d353</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EokvhD3BAlrhwMYztdZwc0YqPSpW4wNma2JNtSuIEO6m0v4M_jMMWkHrg5MM88_rVPIy9lPBWAth3WYJtlAAFAqTegzCP2E4aq4WqNDxmO5CVEcaCvGDPcr4FgMY21VN2oZUCMNDs2M_Dmu4o8NzH40BiHjAS9wNh4n5KkXDgffR97qfIRwzE1xgocYwLpX4q0A2OLW3wMOCcibcnjj9WmtbMb9axEJjnPuGyBcyJ7igumZf873gkjt2y7eKCCf3C85qOlE7P2ZMOh0wv7t9L9u3jh6-Hz-L6y6erw_tr4bWqFqG1tlYHkm3QUoHylloLTUttQBN8rakzhgAxSAmhko2vm67rJHgdVNBGX7I359w5TaVyXtzYZ0_DdoPS3yldy3rfSFkV9PUD9HZaUyztnNpLY6zUNRRKnSmfppwTdW5O_Yjp5CS4TZk7K3NFmfutzG0tXt1Hr-1I4e_KH0cF0Gcgl1EsB_r3939ifwGiVqSx</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2415571380</pqid></control><display><type>article</type><title>Curved single-plane clear corneal incision made under anterior chamber collapse by aqueous humor aspiration prevents leakage after cataract surgery</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Zako, Masahiro ; Gosho, Masahiko ; Mizumoto, Kyoichi</creator><creatorcontrib>Zako, Masahiro ; Gosho, Masahiko ; Mizumoto, Kyoichi</creatorcontrib><description>Purpose
To evaluate the self-sealing on curved single-plane clear corneal incisions (CCIs) after cataract surgery. The collapse of the anterior chamber was made by aspirating the aqueous humor in order to make curved single-plane CCI.
Methods
A retrospective study was conducted at Asai Hospital in Japan. There were 189 eyes of 132 patients scheduled from February to April 2017 for single-plane CCI. There were 175 eyes of 128 patients from February to April 2018 for curved single-plane CCI. Curved single-plane CCIs were made with aqueous humor aspiration via aqueous humor pipette, and single-plane CCIs were made without the aspiration. In case of leakage of aqueous humor from the CCI at the end of surgery, sutures were used. The main outcome measure was the proportion of sutures for CCI. Secondary outcomes included CCI length and surgically induced astigmatism (SIA) magnitude.
Results
The proportions of suture in single-plane CCI and in curved single-plane CCIs were 25.4% (48/189) and 0% (0/175), respectively (
p
< 0.001). The length of curved single-plane CCI (2.06 ± 0.18 mm) was significantly greater than that of single-plane CCI (1.66 ± 0.12 mm;
p
< 0.001). The median postoperative SIAs of single-plane and curved single-plane CCIs were 0.64 D (
n
= 89) and 0.73 D (
n
= 85) for nasal incision, and 0.46 D (
n
= 100) and 0.47 D (
n
= 90) for temporal incision at examination 3 months after surgery, respectively, without significant change (
p
= 0.12 for nasal incision and
p
= 0.37 for temporal incision).
Conclusion
The curved single-plane CCI achieved by only aqueous humor aspiration showed significant effectiveness in self-sealing.
Trial registration
UMIN clinical trials registry UMIN000032480, retrospectively registered on 6 May 2018.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-020-01340-5</identifier><identifier>PMID: 32200509</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Anterior chamber ; Aqueous Humor ; Aqueous humour ; Astigmatism ; Astigmatism - surgery ; Cataract ; Cataracts ; Clinical trials ; Cornea ; Corneal Topography ; Eye surgery ; Humans ; Japan ; Leakage ; Lens Implantation, Intraocular ; Medicine ; Medicine & Public Health ; Ophthalmology ; Original Paper ; Patients ; Phacoemulsification ; Retrospective Studies ; Sealing ; Surgery ; Sutures ; UMIN000032480 ; Visual Acuity</subject><ispartof>International ophthalmology, 2020-07, Vol.40 (7), p.1723-1730</ispartof><rights>Springer Nature B.V. 2020</rights><rights>Springer Nature B.V. 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-333773de1bd31202c7eb709bebda5dc83ef55e0aad110d619c89fff10c3d2d353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-020-01340-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-020-01340-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32200509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zako, Masahiro</creatorcontrib><creatorcontrib>Gosho, Masahiko</creatorcontrib><creatorcontrib>Mizumoto, Kyoichi</creatorcontrib><title>Curved single-plane clear corneal incision made under anterior chamber collapse by aqueous humor aspiration prevents leakage after cataract surgery</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose
To evaluate the self-sealing on curved single-plane clear corneal incisions (CCIs) after cataract surgery. The collapse of the anterior chamber was made by aspirating the aqueous humor in order to make curved single-plane CCI.
Methods
A retrospective study was conducted at Asai Hospital in Japan. There were 189 eyes of 132 patients scheduled from February to April 2017 for single-plane CCI. There were 175 eyes of 128 patients from February to April 2018 for curved single-plane CCI. Curved single-plane CCIs were made with aqueous humor aspiration via aqueous humor pipette, and single-plane CCIs were made without the aspiration. In case of leakage of aqueous humor from the CCI at the end of surgery, sutures were used. The main outcome measure was the proportion of sutures for CCI. Secondary outcomes included CCI length and surgically induced astigmatism (SIA) magnitude.
Results
The proportions of suture in single-plane CCI and in curved single-plane CCIs were 25.4% (48/189) and 0% (0/175), respectively (
p
< 0.001). The length of curved single-plane CCI (2.06 ± 0.18 mm) was significantly greater than that of single-plane CCI (1.66 ± 0.12 mm;
p
< 0.001). The median postoperative SIAs of single-plane and curved single-plane CCIs were 0.64 D (
n
= 89) and 0.73 D (
n
= 85) for nasal incision, and 0.46 D (
n
= 100) and 0.47 D (
n
= 90) for temporal incision at examination 3 months after surgery, respectively, without significant change (
p
= 0.12 for nasal incision and
p
= 0.37 for temporal incision).
Conclusion
The curved single-plane CCI achieved by only aqueous humor aspiration showed significant effectiveness in self-sealing.
Trial registration
UMIN clinical trials registry UMIN000032480, retrospectively registered on 6 May 2018.</description><subject>Anterior chamber</subject><subject>Aqueous Humor</subject><subject>Aqueous humour</subject><subject>Astigmatism</subject><subject>Astigmatism - surgery</subject><subject>Cataract</subject><subject>Cataracts</subject><subject>Clinical trials</subject><subject>Cornea</subject><subject>Corneal Topography</subject><subject>Eye surgery</subject><subject>Humans</subject><subject>Japan</subject><subject>Leakage</subject><subject>Lens Implantation, Intraocular</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Phacoemulsification</subject><subject>Retrospective Studies</subject><subject>Sealing</subject><subject>Surgery</subject><subject>Sutures</subject><subject>UMIN000032480</subject><subject>Visual Acuity</subject><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1v1DAQhi0EokvhD3BAlrhwMYztdZwc0YqPSpW4wNma2JNtSuIEO6m0v4M_jMMWkHrg5MM88_rVPIy9lPBWAth3WYJtlAAFAqTegzCP2E4aq4WqNDxmO5CVEcaCvGDPcr4FgMY21VN2oZUCMNDs2M_Dmu4o8NzH40BiHjAS9wNh4n5KkXDgffR97qfIRwzE1xgocYwLpX4q0A2OLW3wMOCcibcnjj9WmtbMb9axEJjnPuGyBcyJ7igumZf873gkjt2y7eKCCf3C85qOlE7P2ZMOh0wv7t9L9u3jh6-Hz-L6y6erw_tr4bWqFqG1tlYHkm3QUoHylloLTUttQBN8rakzhgAxSAmhko2vm67rJHgdVNBGX7I359w5TaVyXtzYZ0_DdoPS3yldy3rfSFkV9PUD9HZaUyztnNpLY6zUNRRKnSmfppwTdW5O_Yjp5CS4TZk7K3NFmfutzG0tXt1Hr-1I4e_KH0cF0Gcgl1EsB_r3939ifwGiVqSx</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Zako, Masahiro</creator><creator>Gosho, Masahiko</creator><creator>Mizumoto, Kyoichi</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20200701</creationdate><title>Curved single-plane clear corneal incision made under anterior chamber collapse by aqueous humor aspiration prevents leakage after cataract surgery</title><author>Zako, Masahiro ; Gosho, Masahiko ; Mizumoto, Kyoichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-333773de1bd31202c7eb709bebda5dc83ef55e0aad110d619c89fff10c3d2d353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anterior chamber</topic><topic>Aqueous Humor</topic><topic>Aqueous humour</topic><topic>Astigmatism</topic><topic>Astigmatism - surgery</topic><topic>Cataract</topic><topic>Cataracts</topic><topic>Clinical trials</topic><topic>Cornea</topic><topic>Corneal Topography</topic><topic>Eye surgery</topic><topic>Humans</topic><topic>Japan</topic><topic>Leakage</topic><topic>Lens Implantation, Intraocular</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Phacoemulsification</topic><topic>Retrospective Studies</topic><topic>Sealing</topic><topic>Surgery</topic><topic>Sutures</topic><topic>UMIN000032480</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zako, Masahiro</creatorcontrib><creatorcontrib>Gosho, Masahiko</creatorcontrib><creatorcontrib>Mizumoto, Kyoichi</creatorcontrib><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>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</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>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</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>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zako, Masahiro</au><au>Gosho, Masahiko</au><au>Mizumoto, Kyoichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Curved single-plane clear corneal incision made under anterior chamber collapse by aqueous humor aspiration prevents leakage after cataract surgery</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>40</volume><issue>7</issue><spage>1723</spage><epage>1730</epage><pages>1723-1730</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose
To evaluate the self-sealing on curved single-plane clear corneal incisions (CCIs) after cataract surgery. The collapse of the anterior chamber was made by aspirating the aqueous humor in order to make curved single-plane CCI.
Methods
A retrospective study was conducted at Asai Hospital in Japan. There were 189 eyes of 132 patients scheduled from February to April 2017 for single-plane CCI. There were 175 eyes of 128 patients from February to April 2018 for curved single-plane CCI. Curved single-plane CCIs were made with aqueous humor aspiration via aqueous humor pipette, and single-plane CCIs were made without the aspiration. In case of leakage of aqueous humor from the CCI at the end of surgery, sutures were used. The main outcome measure was the proportion of sutures for CCI. Secondary outcomes included CCI length and surgically induced astigmatism (SIA) magnitude.
Results
The proportions of suture in single-plane CCI and in curved single-plane CCIs were 25.4% (48/189) and 0% (0/175), respectively (
p
< 0.001). The length of curved single-plane CCI (2.06 ± 0.18 mm) was significantly greater than that of single-plane CCI (1.66 ± 0.12 mm;
p
< 0.001). The median postoperative SIAs of single-plane and curved single-plane CCIs were 0.64 D (
n
= 89) and 0.73 D (
n
= 85) for nasal incision, and 0.46 D (
n
= 100) and 0.47 D (
n
= 90) for temporal incision at examination 3 months after surgery, respectively, without significant change (
p
= 0.12 for nasal incision and
p
= 0.37 for temporal incision).
Conclusion
The curved single-plane CCI achieved by only aqueous humor aspiration showed significant effectiveness in self-sealing.
Trial registration
UMIN clinical trials registry UMIN000032480, retrospectively registered on 6 May 2018.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>32200509</pmid><doi>10.1007/s10792-020-01340-5</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0165-5701 |
| ispartof | International ophthalmology, 2020-07, Vol.40 (7), p.1723-1730 |
| issn | 0165-5701 1573-2630 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Anterior chamber Aqueous Humor Aqueous humour Astigmatism Astigmatism - surgery Cataract Cataracts Clinical trials Cornea Corneal Topography Eye surgery Humans Japan Leakage Lens Implantation, Intraocular Medicine Medicine & Public Health Ophthalmology Original Paper Patients Phacoemulsification Retrospective Studies Sealing Surgery Sutures UMIN000032480 Visual Acuity |
| title | Curved single-plane clear corneal incision made under anterior chamber collapse by aqueous humor aspiration prevents leakage after cataract surgery |
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