Ocena koaksjalnej fakoemulsyfikacji zaćmy przez mikrocięcie 1,8 mm (C-MICS)
Results of Coaxial Phacoemulsification Through 1.8 mm, Microincision (C-MICS)
Ewa Supady, Tomasz Wierzchowski, Piotr Loba, Aleksandra Synder, Wojciech Omulecki, Michał Wilczyński
Klinika Chorób Oczu I Katedry Chorób Oczu Uniwersytetu Medycznego w Łodzi
Kierownik: prof. dr hab. n. med. Wojciech Omulecki
Summary: Introduction: In recent years cataract surgery has been evolving rapidly. Coaxial 1.8 mm microincision cataract surgery (C-MICS) has gained much popularity recently.
Purpose: To evaluate functional results after coaxial 1.8 mm microincision cataract surgery (C-MICS) with intraocular lens implantation and to evaluate the influence of microincision on status of the eye.
Material and Methods: The examined group consisted of 100 eyes of 100 consecutive patients (57 women and 43 men), in age from 36 to 90 (mean 71.94 ± 10.36 years), operated using coaxial 1.8 mm microincision cataract surgery with a foldable IOL implantation (MI60, Bausch & Lomb).
The reference group consisted of 100 patients (72 women and 28 men) aged from 41 to 89 (mean 73.01 ± 9.92 years), who underwent standard cataract surgery with small incision (2.8 mm) in clear cornea with IOL implantation (AcrySof, Alcon). We examined: best corrected visual acuity using standard Snellen charts, intraocular pressure, manual Javal keratometry, corneal endothelial cell density using Topcon SP 2000P, anterior and posterior segment of the eye in the slit lamp.
Results: Visual acuity improved postoperatively in all patients and the IOL was positioned centrally. Best corrected visual acuity 1 day postoperatively amounted to 0.85 ± 0.23 in the examined group and 0.84 ± 0.20 in the control group. One month postoperatively best corrected visual acuity was 0.96 ± 0.09 in the examined group and 0.95 ± 0.11 in the control group. The difference in SIA was statistically significant between the groups: 0.41 ± 0.29 in the examined group and 0.57 ± 0.44 in the control group (p< 0.05), respectively.
Conclusions: Coaxial 1.8 mm microincision cataract surgery with IOL implantation is very safe and enables to achive very good functional results and quick visual rehabilitation.
Słowa kluczowe: fakoemulsyfikacja, koaksjalne mikrocięcie, C-MICS.
Keywords: phacoemulsification, coaxial microincision, C-MICS.