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Effect of fluidics on corneal endothelial cell density,central corneal thickness,and central macular thickness after phacoemulsification with torsional ultrasound
Authors:Sudeep Das  Soumya Ganesh Nanaiah  Mathew K Kummelil  Somshekar Nagappa  Rohit Shetty  Bhujang K Shetty
Affiliation:1Department of Cataract and Refractive Surgery, Narayana Nethralaya Super Specialty Eye Hospital, Rajajinagar, Bengaluru, India;2Lopamudra Medical Centre, Athur, Kodagu, Karnataka, India;3Department of Cornea and Refractive Surgery, Narayana Nethralaya Super Specialty Eye Hospital, Rajajinagar, Bengaluru, India
Abstract:
Aim:To study the relative effects of high and low fluidic parameters on endothelial cell density (ECD), central corneal thickness (CCT), and central macular thickness (CMT) after phacoemulsification with torsional ultrasound.Results:Cumulative dissipated energy was significantly higher in the low flow group (16.44 ± 9.07 vs. 11.74 ± 6.68; P = 0.002). No statistically significant difference was noted between the two groups in the ECD, CCT, CMT, or corrected distance visual acuity at the end of 6 weeks.Conclusions:No significant difference was noted in the postoperative outcome between high and low flow groups. Parameters can be modified to suit the surgeon''s preference, as both high and low flow parameters were found to have comparable postoperative outcomes.
Keywords:Fluidics   phacoemulsification   torsional
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