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A Comparison of Three Different Thick Epinucleus Removal Techniques in Cataract Surgery

Purpose: To compare the outcomes of cataract surgery performed with three different types of the epinucleus removal techniques (safe boat, infusion/aspiration (I/A) cannulas, and phacoemulsification tip). Methods: Ninety eyes with thick adhesive epinuclei were randomly subdivided into three groups a...

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Bibliographic Details
Published in:Seminars in ophthalmology 2017-05, Vol.32 (3), p.285-290
Main Authors: Hwang, Ho Sik, Lim, Byung-Su, Kim, Man Soo, Kim, Eun Chul
Format: Article
Language:English
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Summary:Purpose: To compare the outcomes of cataract surgery performed with three different types of the epinucleus removal techniques (safe boat, infusion/aspiration (I/A) cannulas, and phacoemulsification tip). Methods: Ninety eyes with thick adhesive epinuclei were randomly subdivided into three groups according to epinucleus removal technique: epinucleus floating (safe boat) technique, 30 patients; I/A tip, 30 patients; and phaco tip, 30 patients. Intraoperative measurements included ultrasound time (UST), mean cumulative dissipated ultrasound energy (CDE), and balanced salt solution (BSS) use. Clinical measurements were made preoperatively, and at one day, one month and two months postoperatively, including the best corrected visual acuity (BCVA), the central corneal thickness (CCT), and the endothelial cell count (ECC). Results: Intraoperative measurements showed significantly less UST, CDE, and BSS use in the safe boat group than in the phaco tip groups (p 
ISSN:0882-0538
1744-5205
DOI:10.3109/08820538.2015.1068342