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Purpose
To compare Cumulative Dissipated Energy (CDE) in dense cataracts, early post operative Corneal Volume (CCV) and Endothelial Count (EC) among 3 groups i.e. FLACS Grid (Gr 1) and Hybrid (Gr 2) with Micro Incision Cataract Surgery (MICS) (Gr 3).
Methods
Each group comprised of 40 patients and respective CDE values were noted. Pre and post-operative EC, CCV and Pentacam Nucleus Grading were measured
Results
Tukey Post Hoc Analysis showed significance among the groups for CDE values (p=0.000). 1st day post-op CCV was lesser in Gr 1 (63.13±3.57) as compared to Gr 2 (63.42±10.2) & Gr 3 (67.97±4.38); p=0.036 and 30th day Post-op CCV were 61.61±3.45: 62.29±4.27 and 62.5±4.03 respectively (p=0.130). Post-op EC were lower in MICS group at 1st & 30th day but not significant (p=0.31)
Conclusion
FLACS Grid and Hybrid pre treatment allowed for a significant reduction in CDE compared to MICS for denser lens nuclei resulting in less endothelial cell trauma and less central corneal swelling.
To compare Cumulative Dissipated Energy (CDE) in dense cataracts, early post operative Corneal Volume (CCV) and Endothelial Count (EC) among 3 groups i.e. FLACS Grid (Gr 1) and Hybrid (Gr 2) with Micro Incision Cataract Surgery (MICS) (Gr 3).
Methods
Each group comprised of 40 patients and respective CDE values were noted. Pre and post-operative EC, CCV and Pentacam Nucleus Grading were measured
Results
Tukey Post Hoc Analysis showed significance among the groups for CDE values (p=0.000). 1st day post-op CCV was lesser in Gr 1 (63.13±3.57) as compared to Gr 2 (63.42±10.2) & Gr 3 (67.97±4.38); p=0.036 and 30th day Post-op CCV were 61.61±3.45: 62.29±4.27 and 62.5±4.03 respectively (p=0.130). Post-op EC were lower in MICS group at 1st & 30th day but not significant (p=0.31)
Conclusion
FLACS Grid and Hybrid pre treatment allowed for a significant reduction in CDE compared to MICS for denser lens nuclei resulting in less endothelial cell trauma and less central corneal swelling.
View More Presentations from this Session
This presentation is from the session "SPS-103 Femtosecond Laser Assisted Cataract Surgery" from the 2020 ASCRS Virtual Annual Meeting held on May 16-17, 2020.