MICS – wyniki operacyjne i perspektywy rozwoju. Część III
MICS – Results of the Surgery and Developing Prospects. Part III
Paweł Klonowski1, Ewelina Balak1, Robert Rejdak1, Jorge Alio2
1 Klinika Okulistyki Uniwersytetu Medycznego w Lublinie, Polska
Kierownik: dr hab. n. med., prof. ndzw. Tomasz Żarnowski
2 Vissum Instituto Oftalmológico de Alicante, Miguel Hernández University, Medical School, Alicante, Hiszpania
Head: Professor Jorge Alio, MD, PhD
Summary: MICS surgical technique is well known by majority of cataract surgeons. More than 16% of surgeons in Germany use this technique as a standard technique. The main goal of modern cataract surgery is to diminish surgical trauma, enhance the operating result and improve visual quality.
Statistically significant differences were found between MICS and coaxial phacoemulsification regarding mean incision size, mean EPT (p<0.001).
The vectorial analysis of SIA in MICS group in clinical study showed that in 35% of the eyes a change of astigmatism <0.25 D was induced by surgery, in 50% the change of astigmatism was between 0.25 and 0.50 D and in only 15% the change was between 0.50 and 1.00 D. In the coaxial group none of the eyes showed vectorial astigmatic change of <0.25 D but only 20% of the eyes showed change of 0.25 to 0.50 D, 30% showed change 0.50 to 1.00 D and 50% showed change more than 1.00 D. The analysis showed that astigmatic change in MICS group is 0.36 D and in coaxial group is 1.20 D (p<0.001) The shorter incision, the less corneal astigmatism, as it was estimated.
MICS is a first between standard cataract surgery technique and future. It is assuring minimization of the operating wound, minimization of the energy used, shortening surgery time, reduction in complications possibility is a great chance to achieve good quality of vision and gives simultaneous patient satisfaction from the first days after surgery.
Słowa kluczowe: MICS zaćma, technika operacyjna, aberracja.
Keywords: MICS, cataract, surgical technique, aberration.