Surgically induced astigmatism after phacoemulsification in eyes with mild to moderate corneal astigmatism: temporal versus on-axis clear corneal incisions.
J Cataract Refract Surg
; 32(4): 565-72, 2006 Apr.
Article
em En
| MEDLINE
| ID: mdl-16698473
PURPOSE: To determine whether there is a difference in surgically induced astigmatism (SIA) and postoperative uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) between 2 types of clear corneal incisions used in phacoemulsification: the temporal and the on-axis (ie, on the steeper corneal meridian) clear corneal incision (CCTI and CCOI, respectively). SETTING: Moorfields Eye Hospital, London, United Kingdom. METHODS: In a prospective randomized controlled trial (pilot study), 61 eyes with cataract and mild to moderate corneal astigmatism (<2.58 diopters [D] on corneal topography) having phacoemulsification (single surgeon, 3.2 mm incision) were randomized to receive CCTI or CCOI. Main outcome measures included postoperative BCVA and corneal astigmatism and SIA (calculated using the Holladay vector analysis formula). Measurements were repeated postoperatively at 3 weeks in all eyes, whereas only 46 eyes made it to the final assessment at 8 weeks. Continuous variables between groups were compared by Student t test. The power of the study was calculated. RESULTS: At the first follow-up, the difference in SIA between the 2 incision types was 0.15 D and it was not statistically significant (0.65 D in CCOI; 0.50 D in CCTI). At the second follow-up, the difference was 0.29 D and it was statistically significant (0.63 D in CCOI; 0.34 D in CCTI; P = .0004). There was no statistically significant difference in the final postoperative visual acuity. The power of the pilot study was 72%. CONCLUSION: Seven weeks after small-incision phacoemulsification, the CCTI induced less SIA than the CCOI; however, there were no significant differences in the final UCVA and BCVA.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Astigmatismo
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Facoemulsificação
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Córnea
Tipo de estudo:
Clinical_trials
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Cataract Refract Surg
Assunto da revista:
OFTALMOLOGIA
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Reino Unido