Abstract:AIM: To compare the efficiency and safety of torsional phacoemulsification with or without intelligent phacoemulsification(IP)software in hard nucleus cataract extraction.
METHODS: Ninety two eyes with Ⅳ-Ⅴgrades cataracts were enrolled in this randomized prospective study. Operated eyes were divided into two groups-those operated without IP software(non-IP group, n=43)and those operated using IP software(IP group, n=49). The two groups were compared in terms of ultrasound time(UST)and cumulative dissipated energy(CDE). Post-operative outcome measures included the corneal edema and best-corrected visual acuity(BCVA)at 1,7d and 3mo postoperatively, corneal endothelial cell density and percentage of hexagonal cell at 7d and 3mo postoperatively.
RESULTS: UST was measured as 52.51±9.64s in non-IP Group and 48.79±7.13s in IP Group(P=0.030). CDE was 15.78±3.73% in non-IP Group and 14.29±2.77% in IP Group(P=0.026). At the first postoperative day, the rate of BCVA>0.1 in non-IP Group was 56%, and the rate in IP Group was 79%(P=0.066). Corneal edema in non-IP Group was 2.98±0.77 scores, and in IP Group it was 2.61±0.64 scores(P=0.021). At the postoperative 7 and 30d, the BCVA and corneal edema were no differences between two groups. At the postoperative 7d, corneal endothelial cell density in non-IP Group were 2497.95±211.48/mm2, less than 2586.26±154.71/mm2 in IP Group(P=0.029); percentage of hexagonal cell in IP group was 48.33±8.69%,higher than 44.19±9.48% of non-IP group(P=0.030).
CONCLUSION: In hard nucleus cataract extraction, the IP software can combine the advantages of the two kinds of ultrasonic modes, which is more effective with lower ultrasound energy and less injury for the corneal endothclium, and is helpful for the recovery of vision at early stage after surgeries.
