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Effect of Anterior Chamber Instability during Phacoemulsification Combined with Intraocular Lens Implantation

Effect of Anterior Chamber Instability during Phacoemulsification Combined with Intraocular Lens Implantation

Authors :
Wenjing Geng
Wenli Lin
Pei Song
Min Zhang
Jian Wu
Shu Su
Yurong Yuan
Min Ji
Huaijin Guan
Source :
Journal of Ophthalmology, Vol 2022 (2022)
Publication Year :
2022
Publisher :
Hindawi Limited, 2022.

Abstract

Purpose. To determine the incidence of anterior chamber (AC) instability during phacoemulsification (phaco) combined with intraocular lens implantation and investigate its effect on intraocular tissues. Methods. Among the 248 enrolled eyes, 121 and 127 eyes were categorized into the irrigation and nonirrigation groups, respectively, depending on the use of a self-made anterior chamber maintainer (ACM) during phaco. AC stability was evaluated using operating microscopy and intraoperative optical coherence tomography (iOCT). Slit-lamp examination of AC flare and cells was performed 1 day postoperatively. Corrected distance visual acuity (CDVA), intraocular pressure (IOP), endothelial cell density (ECD), central corneal thickness (CCT), posterior vitreous detachment (PVD), and central foveal thickness (CFT) were evaluated preoperatively and at 1 week, 1 month, and 3 months postoperatively. Results. There was good consistency in AC stability evaluation between operating microscopy and iOCT. The incidence of AC instability was significantly different between groups after the phaco and irrigation/aspiration tips were withdrawn from the AC P0.05. At 1 month and 3 months postoperatively, PVD occurred in 8 (16.3%) and 14 (28.6%) eyes and in 22 (40.7%) and 37 (68.5%) eyes in the irrigation and nonirrigation groups, respectively (P = 0.006 and P

Subjects

Subjects :
Ophthalmology
RE1-994

Details

Language :
English
ISSN :
20900058
Volume :
2022
Database :
Directory of Open Access Journals
Journal :
Journal of Ophthalmology
Publication Type :
Academic Journal
Accession number :
edsdoj.b57d79c7b79f4338af8ae75107c5892c
Document Type :
article
Full Text :
https://doi.org/10.1155/2022/2848565