Preview

Bashkortostan Medical Journal

Advanced search

INTRAOPERATIVE ASSESSMENT OF NEW METHOD OF ADAPTIVE INFUSION MANAGEMENT IN PHACOEMULSIFICATION

Abstract

Purpose. Comparative assessment of intraoperative parameters of the surgical system in PE (phacoemulsification) using new and well-known method of adaptive infusion in patients with cataracts.
Material and methods. The patients were divided into 2 groups – the main (n=32) - PE using a new method of adaptive infusion management on the Optimed Profi system and the control (n=30) - PE using the well-known method of adaptive infusion on the Centurion Vision System. In each study group, patients were divided according to the degree of cataract density (Buratto) into 4 groups. The main intraoperative parameters studied are the volume of infusion fluid, the duration of removal of the lens nucleus, the dose of exposure and the power of ultrasound.
Results. In an inter-group comparison of the volume of the infusion fluid used, the statistical significance of the differences was noted in patients with grade II and IV cataract density (p<0.05). In the main group, there was a shorter duration of the removal of the lens nucleus compared with the control group without significant statistical differences between the groups (p>0.05).
Conclusion. The use of a new method of adaptive infusion in PE helps to reduce the volume of infusion fluid used and the duration of the removal of the lens nucleus.

About the Authors

B. M. Aznabaev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России; ЗАО «Оптимедсервис»
Russian Federation


T. R. Mukhamadeev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России; ЗАО «Оптимедсервис»
Russian Federation


T. N. Ismagilov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России; ЗАО «Оптимедсервис»
Russian Federation


T. I. Dibaev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России; ЗАО «Оптимедсервис»
Russian Federation


References

1. Packer M. [et al.] The physics of phaco: a review. J. Cataract Refract. Surg. United States, 2005; 31(2):424–431. (in Engl)

2. Vasavada V. [et al.] Real-time dynamic changes in intraocular pressure after occlusion break: comparing 2 phacoemulsification systems. J. Cataract Refract. Surg. United States. 2021; 47(9):1205–1209. (in Engl)

3. Bissen-Miyajima H., Weikert M.P., Koch D.D. Cataract surgery: Maximizing outcomes through research. Springer Tokyo, 2014:211. (in Engl)

4. Beres H, de Ortueta D, Buehner B. [et al.] Does low infusion pressure microincision cataract surgery (LIPMICS) reduce frequency of post-occlusion breaks? Rom. J. Ophthalmol. 2022; 66(2):135-139. doi: 10.22336/rjo.2022.27. (in Engl)

5. Wang D., Shi J., Guan W. [et al.] Fluid Supplementation Through Weakened Zonules via Side-Port Incision to Maintain Intraocular Pressure in High Myopic Eyes. Ophthalmol Ther. 2023;12(6):3323-3336. doi: 10.1007/s40123-023-00814-w. (in Engl)

6. Mehta D. System, apparatus and method for monitoring anterior chamber intraoperative intraocular pressure. Pat. US 2018 / 0092774 A1 USA. 2018: 1-6. (in Engl)

7. Hajishah A., Fung E.W. Advanced occlusion management methods for a phaco system: pat. US 2019 / 0099526 A1 USA. 2019;1:1–24. (in Engl)

8. Nicoli C.M., Dimalanta R., Miller K.M. Experimental anterior chamber maintenance in active versus passive phacoemulsification fluidics systems. J. Cataract Refract. Surg. ASCRS and ESCRS, 2016; 42(1):157–162. (in Engl)

9. Luo Y. [et al.] Active-fluidics versus gravity-fluidics system in phacoemulsification for age-related cataract (AGSPC): study protocol for a prospective, randomised, double-blind, controlled clinical trial. BMJ Open. England, 2022; 12(1):e059062. (in Engl)

10. Sposob adaptivnogo upravlenija infuziej vo vremja fakojemul'sifikacii (Method of adaptive infusion control during phacoemulsification): patent № RU 2788289 C1 Ros. Federacija; zajavl. 24.05.2022; opubl.: 17.01.2023. Bjul. № 2, 18 s. (in Russ.)

11. Ismagilov T.N., Aznabaev B.M., Mukhamadeev T.R. [et al.] Quantitative assessment of post-occlusion surge during phacoemulsification with a new method of adaptive infusion control in experiment. Modern problems of science and education. 2023;3:73. (in Russ.) DOI 10.17513/spno.32641. – EDN LAGNBB.

12. Dibaev, T. I. Ul'trazvukovaya fakoemul'sifikaciya na osnove trekhmernyh kolebanij (Ultrasonic phacoemulsification based on threedimensional vibrations): dis. … kand. med. nauk. Moscow, 2016:132. (in Russ)

13. Whang, W.J., Yang, H.J., Lee, S.H. [et al.] Effect of pre-fragmentation on efficacy and safety for phacoemulsification in femtosecond laser-assisted cataract surgery: a non-randomized clinical trial. Annals of Translational Medicine. 2023; 11(1):1–5. (in Engl) https://doi.org/10.21037/atm-22-1279.

14. Chlasta-Twardzik E., Nowinska A., Wylȩgala E. [et al.] Comparison of the selected parameters of the anterior segment of the eye between femtosecond laser-assisted cataract surgery, microincision cataract surgery, and conventional phacoemulsification: A case-control study. Medicine (United States). 2019; 98(52) (in Engl) https://doi.org/10.1097/MD.0000000000018340.

15. Shuhaev S.V. Kombinirovannyj ul'trazvuk v hirurgicheskom lechenii plotnyh katarakt (Combined ultrasound in the surgical treatment of dense cataracts): dis. … kand. med. nauk. Moscow, 2019:142.(in Russ)


Review

For citations:


Aznabaev B.M., Mukhamadeev T.R., Ismagilov T.N., Dibaev T.I. INTRAOPERATIVE ASSESSMENT OF NEW METHOD OF ADAPTIVE INFUSION MANAGEMENT IN PHACOEMULSIFICATION. Bashkortostan Medical Journal. 2024;19(1):5-9. (In Russ.)

Views: 21


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1999-6209 (Print)