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Scientific article
English

Outcomes of coaxial microincision cataract surgery versus conventional coaxial cataract surgery

Contributors

Dosso, André; Cottet, Laura; Burgener, Nathalie Dang; Di Nardo, Silvio

Published in

Journal of cataract and refractive surgery, vol. 34, no. 2, p. 284-288

Publication date

2008

Abstract

PURPOSE: To compare the outcomes of coaxial microincision cataract surgery (MICS) with those of conventional coaxial cataract surgery. SETTING: University Eye Clinic, Geneva, Switzerland. METHODS: In a prospective study, 50 eyes of 50 patients with nuclear or corticonuclear cataract (grades 2 to 4 on the Lens Opacities Classification System III) were randomly selected to have cataract extraction through a temporal clear corneal incision using 1 of 2 techniques: coaxial MICS (25 eyes) or conventional coaxial cataract surgery (25 eyes). Coaxial MICS was performed through a 1.6 mm incision and conventional coaxial cataract surgery, through a 2.8 mm incision. In all cases, a flexible hydrophobic acrylic intraocular lens (Lentis L-303, WaveLight GmbH) was implanted. Intraoperative parameters were ultrasound time, surgical time, and total volume of balanced salt solution used. The best corrected visual acuity, corneal thickness, and endothelial cell count were evaluated preoperatively and postoperatively. RESULTS: There were no relevant clinical differences between groups or perioperative complications in either group. The only statistically significant differences between the 2 groups were ultrasound time (P =.0002) and surgical time (P =.005). CONCLUSIONS: Coaxial microincision cataract surgery was a safe and effective technique. Although ultrasound and surgical time were significantly higher with coaxial MICS than with conventional coaxial cataract surgery, the postoperative results in the 2 techniques were comparable.

Keywords

  • Acrylic Resins
  • Aged
  • Aged, 80 and over
  • Cornea/surgery
  • Female
  • Humans
  • Lens Implantation, Intraocular
  • Lenses, Intraocular
  • Male
  • Microsurgery/methods
  • Middle Aged
  • Phacoemulsification/methods
  • Prospective Studies
  • Treatment Outcome

UNIGE affiliation entities

Citation (ISO format)

DOSSO, André et al. Outcomes of coaxial microincision cataract surgery versus conventional coaxial cataract surgery. In: Journal of cataract and refractive surgery, 2008, vol. 34, n° 2, p. 284–288. doi: 10.1016/j.jcrs.2007.09.037

Main files (1)

Article (Accepted version)

Identifiers

Journal ISSN

0886-3350
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Technical informations

Creation

11/06/2009 11:50:00

First validation

11/06/2009 11:50:00

Update

14/03/2023 15:06:38

Status update

14/03/2023 15:06:37

Last indexation

29/10/2024 11:42:35
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