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First Author: M.Aznabaev RUSSIA
Co Author(s): R. Hismatullin
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The purpose of research was to make comparative analysis of clinical functional results of Aqualase and ultrasound phacoemulsification of cataract in the long-term period after the operation.
Ufa Eye Research Institute of Academy of Sciences of the Republic of Bashkortostan? Russia. Eye Diseases Department, the Bashkir State Medical University, Ufa, the Republic of Bashkortostan, Russia.
The patients were divided into 2 groups. The basic group of 80 patients (88 eyes) who had underwent Aqualase of cataract. The control group of 62 patients (65 eyes) who had underwent ultrasound phacoemulsification of cataract. Cataracts graded up to nuclear opalescence I-III Buratto only were included. Phacoemulsification of cataract had been conducted using the device INFINITI (Alcon) in modes Aqualase and ultrasound.
Endothelial cell deficiency in 1 year after the operation had made up 5,2ḟ0,03% in the basic group and 7,8ḟ0,03% in the control group. Any significant growth of central retina thickness and edema index hadnt been identified in the groups under test in the long-term period after the operation. In 1 year after the operation 83 patients (94,3%) of the basic group and 60 patients (92,3%) of the control group had acuity of vision of 0,7 and higher. Two cases of after cataract with acuity of central vision decrease under 0,2 had been noted in the control group in the period of up to 3 years after the operation. There had been no cases of posterior capsular fibrosis in the basic group.
In this work we have proved that Aqualase is a more soft method of cataract surgery treatment in comparison with ultrasound method and it results in lower endothelial cell loss, less prominent response of cornea and absence of changes of central retina thickness, and, consequently, in better functional outcome.