Application of active-fluidic pressure control phacoemulsification system for primary angle-closure glaucoma with cataract: reports of 24 cases

Jing XIE; Jiangning XU; Meifang LIU; Jiawen LI; Xi LIU

doi:10.16016/j.1000-5404.202008072

您当前的位置：

首页 >

文章列表页 >

Application of active-fluidic pressure control phacoemulsification system for primary angle-closure glaucoma with cataract: reports of 24 cases

Clinical Medicine | 更新时间：2026-01-09

- Application of active-fluidic pressure control phacoemulsification system for primary angle-closure glaucoma with cataract: reports of 24 cases
- Journal of Third Military Medical University Vol. 42, Issue 21, Pages: 2141-2147(2020)
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)第一附属医院眼科
  2.401331 重庆，重庆市医药高等专科学校
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.202008072
  CLC： R197.39;R775.2;R779.66
- Received：08 August 2020，
  
  Revised：2020-09-21，
  
  Published：15 November 2020
- 稿件说明：
移动端阅览
Jing XIE, Jiangning XU, Meifang LIU, et al. Application of active-fluidic pressure control phacoemulsification system for primary angle-closure glaucoma with cataract: reports of 24 cases[J]. Journal of Third Military Medical University, 2020, 42(21): 2141-2147.
DOI：

Jing XIE, Jiangning XU, Meifang LIU, et al. Application of active-fluidic pressure control phacoemulsification system for primary angle-closure glaucoma with cataract: reports of 24 cases[J]. Journal of Third Military Medical University, 2020, 42(21): 2141-2147. DOI： 10.16016/j.1000-5404.202008072.

摘要

目的

对比主控系统和重力系统对原发性闭角型青光眼患者白内障超声乳化手术术中效率及术后中央角膜厚度、眼压及角膜内皮细胞计数的影响。

方法

收集2016年6月至2019年12月就诊于陆军军医大学第一附属医院眼科24例(48眼)原发性闭角型青光眼合并白内障患者，使用Centurion视觉系统超声乳化仪手术。主控组24例24眼，患者一眼应用主动液流控制系统；重力组24例24眼，患者另一眼应用传统重力灌注系统。记录术中效率及术后1 d、1周、1个月角膜内皮细胞密度、眼压及中央角膜厚度变化。

结果

术前两组患者的基本资料差异无统计学意义。主控组的总超声乳化时间、扭动超声使用时间、抽吸时间和液流使用量显著低于重力组(

0.05)。累计释放能量和扭动能量振幅两组无统计学差异。术后1 d、1周主控组的中央角膜厚度和眼压的变化程度低于重力组(

0.01)。术后1个月两组均无统计学差异。术后1 d、1周、1个月两组病例角膜内皮细胞丢失降低程度无统计学差异。

结论

Centurion Vision System主控系统相对于传统重力控制系统有更高的超声乳化手术效率，能保证原发性闭角型青光眼患者术后早期非接触眼压测量的准确性。

Abstract

Objective

To compare the intraoperative efficacies of active-fluidic pressure control phacoemulsification system versus gravity-fluidics on intraoperative efficiency for primary angle-closure glaucoma with cataract

and investigate their effects on postoperative central corneal thickness(CCT)

intraocular pressure(IOP)

and count of corneal endothelial cells.

Methods

A total of 24 patients(48 eyes) with primary angle-closure glaucoma and also accompanied with cataract undergoing surgical treatment in our ophthalmology department from June 2016 to December 2019 were prospectively recruited in this study. With the aid of Alcon Centurion Phacoemulsification Vision System

these patients underwent phacoemulsification with active-fluidics configuration in one eye(active group)

and with gravity-fluidics configuration in another eye(gravity group). Their intraoperative parameters

such as cumulative dissipated energy(CDE)

total ultrasound(US) time

torsion use time

torsion amplitude

aspiration time

and fluid use

were noted and compared between configurations. Endothelial cell loss

and CCT and IOP changes were evaluated at 1 d

1 week

and 1 month postoperatively.

Results

There were no significant differences in the baseline data between the 2 groups. The active group had significantly shorter total US time

torsion use time and aspiration time

and lower amount of fluid use than the gravity group(

0.05). But no statistical differences were seen in the phacoemulsification energy and torsion amplitude between them. The active-fluidics configuration showed significantly less changes in CCT and IOP at 1 day and 1 week postoperatively than the gravity-fluidics configuration(

0.01). But such differences were disappeared in 1 month later. There was no notable difference in the loss of endothelial cells at all time points between the 2 groups.

Conclusion

The active-fluidics configuration achieve higher surgical efficiency than the gravity-fluidics configuration for angle-closure glaucoma eyes with coexisting cataract

and can guarantee the accuracy of IOP in early stage after surgery.

关键词

Keywords

references

刘美玲, 王友信.我国40岁以上自然人群闭角型青光眼致盲率研究系统评价和Meta分析[J].中华眼科杂志, 2017, 53(5):373-377.

LIU M L, WANG Y X. The prevalence of blindness caused by primary angle closure glaucoma in middle-aged Chinese population:a systematic review and meta-analysis[J]. Chin J Ophthalmol, 2017, 53(5):373-377.

LAI J, CHOY B N, SHUM J W. Management of primary angle-closure Glaucoma[J]. Asia Pac J Ophthalmol(Phila), 2016, 5(1): 59-62. DOI:10.1097/apo.0000000000000180.

MALIK P K, DEWAN T, PATIDAR A K, et al . Effect of IOP based infusion system with and without balanced phaco tip on cumulative dissipated energy and estimated fluid usage in comparison to gravity fed infusion in torsional phacoemulsification[J ] . Eye Vis Lond Engl, 2017, 4: 22. DOI:10.1186/s40662-017-0087-5.

王海伟, 岳岩坤.重力液流系统和主动控制液流系统对白内障超声乳化术中累积释放能量及术后视力恢复和角膜内皮参数的影响[J].眼科新进展, 2019, 39(1): 68-71.

WANG H W, YUE Y K. Effects of gravity fluid flow system and active control fluid flow system on cumulative dissipated energy in post-phacoemulsification vision recovery and corneal endothelium[J]. Recent Adv Ophthalmol, 2019, 39(1): 68-71.

GOLOZAR A, CHEN Y, LINDSLEY K, et al . Identification and description of reliable evidence for 2016 American academy of ophthalmology preferred practice pattern guidelines for cataract in the adult eye[J ] . JAMA Ophthalmol, 2018, 136(5): 514-523. DOI:10.1001/jamaophthalmol.2018.0786.

YOO A, NAM K Y, TCHAH H, et al . Heat generation and efficiency of a new modified phaco tip and sleeve[J ] . PLoS ONE, 2016, 11(8): e0159049. DOI:10.1371/journal.pone.0159049.

GONZALEZ-SALINAS R, GARZA-LEON M, SAENZ-DEVITERI M, et al . Comparison of cumulativ e dissipated energy delivered by active-fluidic pressure control phacoemulsification system versus gravity-fluidics[J ] . Int Ophthalmol, 2018, 38(5): 1907-1913. DOI:10.1007/s10792-017-0674-4.

SOLOMON K D, LORENTE R, FANNEY D, et al . Clinical study using a new phacoemulsification system with surgical intraocular pressure control[J ] . J Cataract Refract Surg, 2016, 42(4): 542-549. DOI:10.1016/j.jcrs.2016.01.037.

WEI W, FAN Z S, WANG L H, et al . Correlation analysis between central corneal thickness and intraocular pressure in juveniles in Northern China: the Jinan City eye study[J ] . PLoS ONE, 2014, 9(8): e104842. DOI:10.1371/journal.pone.0104842.

FARVARDIN M, HEIDARY F, SAYEHMIRI K, et al . A comprehensive meta-analysis on intra ocular pressure and central corneal thickness in healthy children[J ] . Iran J Public Health, 2017, 46(6): 724-732.

YOO C, AMOOZGAR B, YANG K S, et al . Glaucoma severity and intraocular pressure reduction after cataract surgery in eyes with medically controlled Glaucoma[J ] . Medicine(Baltimore), 2018, 97(42):e12881. DOI:10.1097/md.0000000000012881.

SEOL B R, SHIN J Y, CHOI S, et al . Intraocular pressure(IOP) change and frequency of IOP spike after cataract surgery in normal-tension glaucoma: a case-control study[J ] . J Glaucoma, 2019, 28(3): 201-206. DOI:10.1097/ijg.0000000000001172.

MAHDY M A, EID M Z, MOHAMMED M A, et al . Relationship between endothelial cell loss and microcoaxial phacoemulsification parameters in noncomplicated cataract surgery[J ] . Clin Ophthalmol, 2012, 6: 503-510. DOI:10.2147/opth.s29865.

MANSOORI T, BALAKRISHNA N. Effect of central corneal thickness on intraocular pressure and comparison of Topcon CT-80 non-contact tonometry with Goldmann applanation tonometry[J]. Clin Exp Optom, 2018, 101(2): 206-212. DOI:10.1111/cxo.12620.

HARADA Y, HIROSE N, KUBOTA T, et al . The influence of central corneal thickness and corneal curvature radius on the intraocular pressure as measured by different tonometers: noncontact and goldmann applanation tonometers[J ] . J Glaucoma, 2008, 17(8): 619-625. DOI:10.1097/ijg.0b013e3181634f0f.

MENCUCCI R, PONCHIETTI C, VIRGILI G, et al . Corneal endothelial damage after cataract surgery: Microincision versus standard technique[J ] . J Cataract Refract Surg, 2006, 32(8): 1351-1354. DOI:10.1016/j.jcrs.2006.02.070.

WALKOW T, ANDERS N, KLEBE S.Endothelial cell loss after phacoemulsification: relation to preoperative and intraoperative parameters[J]. J Cataract Refract Surg, 2000, 26(5): 727-732. DOI:10.1016/s0886-3350(99)00462-9.

SETHI H S, SALUJA K, NAIK M P. Comparative analysis of coaxial phacoemulsification with 2.2-and 2.8-mm clear corneal incisions[J]. Int Ophthalmol, 2018, 38(1): 215-222. DOI:10.1007/s10792-017-0450-5.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of active-fluidic pressure control phacoemulsification system in dense nuclear cataract

Clinical efficacy of bromfenac sodium hydrate ophthalmic solution after sub-bowman keratomileusis for correction of high myopia and myopic astigmatism

Evaluation of central anterior chamber depth before and after laser peripheral iridoplasty in primary angle-closure glaucoma by Pentacam and SL-OCT

Relationship of glutathione S-transferase M1 and T1 polymorphisms with the susceptibility of primary angle-closure glaucoma of Chinese Han population in Chongqing

Clinical analysis of phacoemulsification on patients with cardiovascular disease

Related Author

Fuliang LI

Jiawen LI

Meifang LIU

Jiangning XU

Jing XIE

刘李娜

阚秋霞

张怡

Related Institution

No data

⁰