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Evaluation of the Effects of Demographic and Biometric Characteristics and Time and Power Used in Phacoemulsification on the Duration of Cataract Surgery

Year 2019, Volume: 8 Issue: 3, 128 - 133, 01.09.2019
https://doi.org/10.5505/abantmedj.2019.37880

Abstract

INTRODUCTION: The aim of this study was to evaluate the demographic and biometric characteristics of patients with cataract surgery and their effects on the total duration of cataract surgery.METHODS: 144 eyes of 144 patients who underwent phacoemulsification surgery PHACO for cataract treatment were included in the study. Surgical parameters and biometric parameters such as axial length AL , anterior chamber depth ACD , lens thickness LT , central corneal thickness CCT , dilated pupillary diameter PD and nuclear sclerosis NS grades were retrospectively investigated. The correlation between the obtained data and total PHACO time TPT was evaluated by correlation and regression analyzes.RESULTS: 55.6% 80 patients of the patients were male and the mean age was 67.07 ± 9.77 40-95 years years. According to the analyzes, a weak correlation was found between ultrasound time UT , NS grade, ACD and TPT R: 0.368, 0.220, -0.256, p. 0.05 for all data .DISCUSSION AND CONCLUSION: It has been detected that there was a significantly relationship between ACD narrowing, LK increasing and longer TPT. Other biometric and demographic factors such as age, gender and PEX status did not affect TPT. When all analyzes were considered, the main factors that could have an impact on TPT were considered to be NS degrees and UT.

References

  • Thylefors B. The World Health Organization's programme for ophthalmology. 1990;14(3):211-9. blindness. International
  • Linebarger EJ, Hardten DR, Shah GK, Lindstrom RL. Phacoemulsification and modern cataract surgery. Surv Ophthalmol. 1999;44(2):123-47.
  • Hosler MR, Scott IU, Kunselman AR, Wolford KR, Oltra EZ, Murray WB. Impact of resident participation in cataract surgery on operative time and cost. Ophthalmology. 2012;119(1):95-8.
  • Taravella MJ, Davidson R, Erlanger M, Guiton G, Gregory D. Time and cost of teaching cataract surgery. J Cataract Refract Surg. 2014;40(2):212-6.
  • Lubahn JG, Donaldson KE, Culbertson WW, Yoo SH. Operating times of experienced cataract surgeons beginning femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2014;40(11):1773-6.
  • Park J, Yum HR, Kim MS, Harrison AR, Kim EC. Comparison of phaco-chop, divide-and-conquer, and stop-and-chop phaco techniques in microincision coaxial cataract surgery. J Cataract Refract Surg. 2013;39(10):1463-9.
  • Patrício MS, Almeida AC, Rodrigues MP, Guedes ME, Ferreira TB. Correlation between cataract grading by Scheimpflug phacoemulsification using peristaltic and venturi pumps. European journal of ophthalmology. 2013;23(6):789-92.
  • Gonzalez-Salinas R, Garza-Leon M, Saenz-de-Viteri M, Solis- S JC, Gulias-Cañizo R, Quiroz-Mercado H. Comparison of cumulative dissipated energy delivered by active-fluidic pressure control phacoemulsification system versus gravity-fluidics. 2018;38(5):1907-13. ophthalmology.
  • Perez-Campagne E, Basdekidou C, Petropoulos IK, Noachovitch B, Moubri M. Impact of preoperative and intraoperative factors in cataract surgery. Klin Monbl Augenheilkd. 2013;230(4):326-8.
  • Schmidt CM, Sundararajan M, Biggerstaff KS, Orengo-Nania S, Coffee RE, Khandelwal SS. Indications and outcomes of resident-performed cataract surgery requiring return to the operating room. J Cataract Refract Surg. 2016;42(3):385-91.
  • Kohnen S, Lotfipour S. [Capsule rupture and vitrectomy during 2019;116(3):267-72. Kapselruptur und Vitrektomie bei Phakoemulsifikation. Ophthalmologe.
  • Kausar A, Farooq S, Akhter W, Akhtar N. Transient Corneal Edema After Phacoemulsification. J Coll Physicians Surg Pak. 2015;25(7):505-9.
  • Sippel KC, Pineda R, Jr. Phacoemulsification and thermal wound injury. Semin Ophthalmol. 2002;17(3-4):102-9.
  • Chen C, Zhu M, Sun Y, Qu X, Xu X. Bimanual microincision versus standard coaxial small-incision cataract surgery: meta-analysis of randomized controlled trials. Eur J Ophthalmol. 2015;25(2):119-27.
  • Nderitu P, Ursell P. Factors affecting cataract surgery operating time among trainees and consultants. J Cataract Refract Surg. 2019;45(6):816-22.
  • Gupta D, Taravati P. Effect of surgical case order on cataract surgery complication rates and procedure time. J Cataract Refract Surg. 2015;41(3):594-7.
  • Wiggins MN, Warner DB. Resident physician operative times during cataract surgery. Ophthalmic Surg Lasers Imaging. 2010;41(5):518-22.
  • Walkow T, Anders N, Klebe S. Endothelial cell loss after phacoemulsification: relation to preoperative and intraoperative parameters. J Cataract Refract Surg. 2000;26(5):727-32.
  • Pereira ACA, Porfírio Jr F, Freitas LL, Belfort Jr R. Ultrasound energy and endothelial cell loss with stop-and-chop and nuclear preslice phacoemulsification. Journal of Cataract & Refractive Surgery. 2006;32(10):1661-6.
  • Gupta M, Ram J, Jain A, Sukhija J, Chaudhary M. Correlation of nuclear density using the Lens Opacity Classification System phacoemulsification parameters. Journal of Cataract & Refractive Surgery. 2013;39(12):1818-23. imaging with
  • Davison JA, Chylack LT. Clinical application of the lens opacities classification system III in the performance of phacoemulsification. 2003;29(1):138-45. Cataract Refract Surg.
  • Kim JS, Chung SH, Joo CK. Clinical application of a Scheimpflug system for lens density measurements in phacoemulsification. 2009;35(7):1204-9. Cataract Refract Surg.

Demografik ve Biyometrik Özellikler ile Fakoemülsifikasyon Aşamasında Kullanılan Süre ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi

Year 2019, Volume: 8 Issue: 3, 128 - 133, 01.09.2019
https://doi.org/10.5505/abantmedj.2019.37880

Abstract

GİRİŞ ve AMAÇ: Bu çalışmada katarakt ameliyatı olan hastaların demografik ve biyometrik özelliklerinin, katarakt ameliyatının toplam süresi üzerindeki etkilerinin değerlendirilmesi amaçlanmıştır.YÖNTEM ve GEREÇLER: Çalışmaya katarakt tedavisi amacıyla fakoemülsifikasyon cerrahisi FAKO yapılmış 144 hastanın 144 gözü dahil edildi. Hastaların cerrahi sırasındaki parametreleri, aksiyel uzunluk AU , ön kamara derinliği ÖKD , lens kalınlığı LK , merkezi kornea kalınlığı MKK , dilate pupil çapı PÇ ve nükleer skleroz NS dereceleri retrospektif olarak incelendi. Elde edilen verilerle toplam FAKO süresi TFS arasındaki ilişki korelasyon ve regresyon analizleri ile değerlendirildi.BULGULAR: Hastaların %55,6’sı 80 hasta erkekti ve ortalama yaş 67,07 ± 9,77 40-95 yıl yıldı. Yapılan analizler sonucunda ultrason süresi US , NS derecesi ve ÖKD ile TFS arasında zayıf düzeyde ilişki saptandı sırasıyla R: 0,368, 0,220,-0.256, p.0,05 .TARTIŞMA ve SONUÇ: Yaş, cinsiyet, PEKS durumu gibi faktörlerin TFS’yi etkilemediği, biyometrik faktörlerden ÖKD darlığı ve LK artması ile TFS’nin artması arasında anlamlı ilişki olduğu görüldü. Tüm analizler göz önüne alındığında ise TFS üzerinde etkisi olabilecek asıl faktörlerin hastaların NS dereceleri ve US olduğu düşünüldü.

References

  • Thylefors B. The World Health Organization's programme for ophthalmology. 1990;14(3):211-9. blindness. International
  • Linebarger EJ, Hardten DR, Shah GK, Lindstrom RL. Phacoemulsification and modern cataract surgery. Surv Ophthalmol. 1999;44(2):123-47.
  • Hosler MR, Scott IU, Kunselman AR, Wolford KR, Oltra EZ, Murray WB. Impact of resident participation in cataract surgery on operative time and cost. Ophthalmology. 2012;119(1):95-8.
  • Taravella MJ, Davidson R, Erlanger M, Guiton G, Gregory D. Time and cost of teaching cataract surgery. J Cataract Refract Surg. 2014;40(2):212-6.
  • Lubahn JG, Donaldson KE, Culbertson WW, Yoo SH. Operating times of experienced cataract surgeons beginning femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2014;40(11):1773-6.
  • Park J, Yum HR, Kim MS, Harrison AR, Kim EC. Comparison of phaco-chop, divide-and-conquer, and stop-and-chop phaco techniques in microincision coaxial cataract surgery. J Cataract Refract Surg. 2013;39(10):1463-9.
  • Patrício MS, Almeida AC, Rodrigues MP, Guedes ME, Ferreira TB. Correlation between cataract grading by Scheimpflug phacoemulsification using peristaltic and venturi pumps. European journal of ophthalmology. 2013;23(6):789-92.
  • Gonzalez-Salinas R, Garza-Leon M, Saenz-de-Viteri M, Solis- S JC, Gulias-Cañizo R, Quiroz-Mercado H. Comparison of cumulative dissipated energy delivered by active-fluidic pressure control phacoemulsification system versus gravity-fluidics. 2018;38(5):1907-13. ophthalmology.
  • Perez-Campagne E, Basdekidou C, Petropoulos IK, Noachovitch B, Moubri M. Impact of preoperative and intraoperative factors in cataract surgery. Klin Monbl Augenheilkd. 2013;230(4):326-8.
  • Schmidt CM, Sundararajan M, Biggerstaff KS, Orengo-Nania S, Coffee RE, Khandelwal SS. Indications and outcomes of resident-performed cataract surgery requiring return to the operating room. J Cataract Refract Surg. 2016;42(3):385-91.
  • Kohnen S, Lotfipour S. [Capsule rupture and vitrectomy during 2019;116(3):267-72. Kapselruptur und Vitrektomie bei Phakoemulsifikation. Ophthalmologe.
  • Kausar A, Farooq S, Akhter W, Akhtar N. Transient Corneal Edema After Phacoemulsification. J Coll Physicians Surg Pak. 2015;25(7):505-9.
  • Sippel KC, Pineda R, Jr. Phacoemulsification and thermal wound injury. Semin Ophthalmol. 2002;17(3-4):102-9.
  • Chen C, Zhu M, Sun Y, Qu X, Xu X. Bimanual microincision versus standard coaxial small-incision cataract surgery: meta-analysis of randomized controlled trials. Eur J Ophthalmol. 2015;25(2):119-27.
  • Nderitu P, Ursell P. Factors affecting cataract surgery operating time among trainees and consultants. J Cataract Refract Surg. 2019;45(6):816-22.
  • Gupta D, Taravati P. Effect of surgical case order on cataract surgery complication rates and procedure time. J Cataract Refract Surg. 2015;41(3):594-7.
  • Wiggins MN, Warner DB. Resident physician operative times during cataract surgery. Ophthalmic Surg Lasers Imaging. 2010;41(5):518-22.
  • Walkow T, Anders N, Klebe S. Endothelial cell loss after phacoemulsification: relation to preoperative and intraoperative parameters. J Cataract Refract Surg. 2000;26(5):727-32.
  • Pereira ACA, Porfírio Jr F, Freitas LL, Belfort Jr R. Ultrasound energy and endothelial cell loss with stop-and-chop and nuclear preslice phacoemulsification. Journal of Cataract & Refractive Surgery. 2006;32(10):1661-6.
  • Gupta M, Ram J, Jain A, Sukhija J, Chaudhary M. Correlation of nuclear density using the Lens Opacity Classification System phacoemulsification parameters. Journal of Cataract & Refractive Surgery. 2013;39(12):1818-23. imaging with
  • Davison JA, Chylack LT. Clinical application of the lens opacities classification system III in the performance of phacoemulsification. 2003;29(1):138-45. Cataract Refract Surg.
  • Kim JS, Chung SH, Joo CK. Clinical application of a Scheimpflug system for lens density measurements in phacoemulsification. 2009;35(7):1204-9. Cataract Refract Surg.
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Enes Uyar This is me

Publication Date September 1, 2019
Published in Issue Year 2019 Volume: 8 Issue: 3

Cite

APA Uyar, E. (2019). Demografik ve Biyometrik Özellikler ile Fakoemülsifikasyon Aşamasında Kullanılan Süre ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi. Abant Medical Journal, 8(3), 128-133. https://doi.org/10.5505/abantmedj.2019.37880
AMA Uyar E. Demografik ve Biyometrik Özellikler ile Fakoemülsifikasyon Aşamasında Kullanılan Süre ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi. Abant Med J. September 2019;8(3):128-133. doi:10.5505/abantmedj.2019.37880
Chicago Uyar, Enes. “Demografik Ve Biyometrik Özellikler Ile Fakoemülsifikasyon Aşamasında Kullanılan Süre Ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi”. Abant Medical Journal 8, no. 3 (September 2019): 128-33. https://doi.org/10.5505/abantmedj.2019.37880.
EndNote Uyar E (September 1, 2019) Demografik ve Biyometrik Özellikler ile Fakoemülsifikasyon Aşamasında Kullanılan Süre ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi. Abant Medical Journal 8 3 128–133.
IEEE E. Uyar, “Demografik ve Biyometrik Özellikler ile Fakoemülsifikasyon Aşamasında Kullanılan Süre ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi”, Abant Med J, vol. 8, no. 3, pp. 128–133, 2019, doi: 10.5505/abantmedj.2019.37880.
ISNAD Uyar, Enes. “Demografik Ve Biyometrik Özellikler Ile Fakoemülsifikasyon Aşamasında Kullanılan Süre Ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi”. Abant Medical Journal 8/3 (September 2019), 128-133. https://doi.org/10.5505/abantmedj.2019.37880.
JAMA Uyar E. Demografik ve Biyometrik Özellikler ile Fakoemülsifikasyon Aşamasında Kullanılan Süre ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi. Abant Med J. 2019;8:128–133.
MLA Uyar, Enes. “Demografik Ve Biyometrik Özellikler Ile Fakoemülsifikasyon Aşamasında Kullanılan Süre Ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi”. Abant Medical Journal, vol. 8, no. 3, 2019, pp. 128-33, doi:10.5505/abantmedj.2019.37880.
Vancouver Uyar E. Demografik ve Biyometrik Özellikler ile Fakoemülsifikasyon Aşamasında Kullanılan Süre ve Gücün Katarakt Ameliyatı Süresi Üzerindeki Etkilerinin Değerlendirilmesi. Abant Med J. 2019;8(3):128-33.