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Analysis of Intraoperative Capsular Trauma Induced by a :术中囊损伤诱导的分析
Analysis of Intraoperative Capsular Trauma Induced by a New Single-Use Polymer Irrigation/Aspiration Tip During Posterior Capsule Polishing Background Posterior capsule rupture is a serious complication of cataract surgery. Roughly one-third of posterior capsule ruptures occur during the irrigation/aspiration stage of phacoemulsification1. Although posterior capsular polishing does not influence rates of posterior capsule opacification2, anterior capsular polishing can decrease rates of anterior capsule opacification/fibrosis3 and capsular contraction4. Because of this effect, some have advocated the use of routine capsular polishing with implantation of multifocal and other premium intraocular lenses that are extremely susceptible to decentration from mild capsular contraction5. The single-use polymer tip studied here was manufactured to decrease posterior capsular trauma during irrigation/aspiration and capsular polishing. Purpose To compare the safety and capsular friendliness of a new single-use polymer irrigation/aspiration (I/A) port with a standard metal I/A port in a Miyake cadaver eye model. Material/Methods One eye of each cadaver pair was treated with a standard metal I/A tip (OD) while the contralateral eye was treated with a single–use polymer I/A tip (OS). Nine pairs of cadaver eyes were prepared using the Miyake/Apple technique under open sky for better capsular visualization. Following capsulorrhexis, and nucleus expression by hydrodissection, cortex was removed by each respective I/A tip. The aspiration port was then occluded on the posterior capsule and swept in several 2-3 mm arcs in order to induce either capsular rupture or zonular dehiscence. Material/Methods II If the posterior capsule/ zonular apparatus remained intact, the vacuum was increased in a stepwise fashion to a maximum of 600 mmHg. Flow rate and bottle height were fixed. The eyes were assessed by subjectively documenting zonular stretching/ dehiscence and objectively
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