In vivo analysis of wound architecture in 700 microm microphakonit cataract surgery

Journal of Cataract and Refractive Surgery
Amar AgarwalAthiya Agarwal

Abstract

To analyze the clear corneal wound architecture in 700 microm cataract surgery (microphakonit) using anterior segment optical coherence tomography (AS-OCT). Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India. Wound architecture was analyzed by AS-OCT 30 minutes after surgery and 1, 3, and 7 days postoperatively in 12 eyes (11 patients) that had microphakonit surgery. Five eyes had microphakonit with a 700 microm phaco tip with no intraocular lens (IOL) implantation, and 7 eyes had foldable IOL implantation after the main port was extended with a 2.8 mm keratome. Twenty-four clear corneal wounds, which included the main port and the side port, were studied. The mean endothelial misalignment in the microphakonit wound was 0.085 mm +/- 0.09 (SD) immediately postoperatively, 0.057 +/- 0.07 mm at 1 day, 0.020 +/- 0.04 mm at 3 days, and 0.0 mm at 7 days. The mean coaptation loss was 0.030 +/- 0.06 mm immediately postoperatively, 0.029 +/- 0.04 mm at 1 day, and 0.029 +/- 0.04 mm at 3 days. There was a significant positive correlation between the change in stromal hydration and coaptation loss in the 17 wounds without extension; 82.3% of wounds at 3 days and 100% at 7 days had complete endothelial alignment. Although the...Continue Reading

References

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Apr 11, 2003·Journal of Cataract and Refractive Surgery·Amar AgarwalAthiya Agarwal
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Jul 31, 2007·Journal of Cataract and Refractive Surgery·Daniel Calladine, Richard Packard
Dec 7, 2007·Journal of Cataract and Refractive Surgery·Amar AgarwalAthiya Agarwal
Feb 5, 2008·Journal of Cataract and Refractive Surgery·André Alexandre DossoSilvio Di Nardo

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Citations

Mar 20, 2013·Journal of Cataract and Refractive Surgery·Amar AgarwalAthiya Agarwal
Nov 30, 2010·Journal of Cataract and Refractive Surgery·Prashaant ChaudhryAmar Agarwal
Jan 5, 2010·Korean Journal of Ophthalmology : KJO·Yang Kyeung Cho, Man Soo Kim
Dec 10, 2009·Current Opinion in Ophthalmology

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