Effect of cataract surgery using iris retractor on corneal endothelium and anterior segment parameters in patients with non-dilated pupils

Yıl 2025, Cilt: 11 Sayı: 2, 122 - 128, 30.08.2025

Burak Ören , İbrahim Halil Türkman

https://doi.org/10.30569/adiyamansaglik.1732582

Öz

Aim: To evaluate the outcomes of cataract surgery performed using flexible iris retractor hooks (FIRHs) in patients with non-dilated pupils and assess the effects on corneal endothelium and anterior segment parameters.
Materials and Methods: This retrospective study included patients with non-dilated pupils who underwent cataract surgery using FIRHs. Their best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber depth (ACD), aqueous depth (AD), central corneal thickness (CCT), and endothelial cell density (ECD) were recorded preoperatively and postoperatively.
Results: This study included 32 eyes from 30 patients. The mean IOP (p = 0.307) and CCT (p = 0.149) did not differ significantly between the preoperative and postoperative measurements. However, BCVA, ACD, and AD increased significantly from preoperatively to postoperatively, while ECD significantly decreased (all p < 0.001).
Conclusion: FIRHs can be safely used for pupil dilation during cataract surgery on patients with small pupils and provide favorable surgical outcomes for both patients and surgeons.

Anahtar Kelimeler

Small pupil , Iris retractor hook , Cataract surgery

Etik Beyan

This study received ethical approval from the Non-interventional Clinical Research Ethics Committee of Adıyaman University (approval number: 2025/4-6, approval date: April 29, 2025).

Destekleyen Kurum

The authors declare that this study received no financial support.

Teşekkür

None.

Pupillası dilate olmayan hastalarda iris retraktörü kullanılarak yapılan katarakt cerrahisinin kornea endoteli ve ön segment parametreleri üzerine etkisi

Öz

Amaç: Bu retrospektif çalışmada, dilate olmayan pupillalarda fleksibl iris retraktör kancaları (FIRK) kullanılarak gerçekleştirilen katarakt cerrahisinin sonuçlarını, kornea endoteli ve ön segment parametreleri üzerindeki etkilerini değerlendirmeyi amaçladık.
Gereç ve Yöntem: Dilate olmayan pupillalarda katarakt cerrahisinde FIRK kullanılan olgular çalışmaya dahil edildi. Düzeltilmiş en iyi görme keskinliği (DEGK), göz içi basıncı, ön kamara derinliği (ÖKD), aköz derinliği (AD), santral kornea kalınlığı (SKK) ve endotelyal hücre yoğunluğu (EHY) ameliyat öncesi ve sonrasında kaydedildi.
Bulgular: Çalışmaya 30 hastanın 32 gözü dahil edildi. Ortalama göz içi basıncı ve SKK'de ameliyat öncesi ve ameliyat sonrası anlamlı fark gözlenmedi. Ameliyat sonrası DEGK, ÖKD ve AD anlamlı arttı, EHY ise istatistiksel olarak anlamlı azaldı (p< 0,001)
Sonuç: FIRH, küçük pupillaya sahip katarakt hastalarında ameliyat sırasında pupilla dilatasyonunda güvenle kullanılabilir, hasta ve cerrah için iyi sonuçlar verir.

Anahtar Kelimeler

Küçük pupil , İris retraktör Kancası , Katarakt cerrahisi

Etik Beyan

This study received ethical approval from the Non-interventional Clinical Research Ethics Committee of Adıyaman University (approval number: 2025/4-6, approval date: April 29, 2025).

Destekleyen Kurum

The authors declare that this study received no financial support.

Teşekkür

None.

Kaynakça

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