Temperature Of Irrigating Fluid During Phacoemulsification And Endothelial Changes

Published 2022 - 40th Congress of the ESCRS

Reference: PP10.13 | Type: ESCRS 2022 - Posters | DOI: 10.82333/bea9-1256

Authors: Alaa Abdalsadek Ahmed Sinjab* ¹

¹Department of ophthalmology, Sohag University,Sohag Faculty of medicine,Sohag,Egypt

Purpose

To determine the effect of irrigating fluid temperature on the corneal endothelium during phacoemulsification

Setting

Department of Ophthalmology, Sohag university Hospital, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.

Methods

100 eyes with senile cataract underwent uneventful phacoemulsification.

Group A; 50 eyes, Irrigating fluids kept at room temperature (20±1° c) were used.

Group B; 5o eyes, cold irrigating fluids kept at 14±1° c were used.

Both groups were matched for age, lens opacity grade system (LOGS) and preoperative endothelial cell density and hexagonality.

Outcome measures: at three months postoperative:-

Corrected distance visual acuity (CDVA), endothelial cell density and hexagonality, intraoperative and postoperative complications.

Results

This was a prospective interventional study. CDVA three month postoperatively ranged from 0.4-0.2 in LogMAR, average 0.25. there were statistically insignificant difference (p value > 0.05) between both groups as regards CDVA, endothelial changes, intraoperative and postoperative complications.

Conclusions

Cold irrigating fluid showed no superior benefits over fluids kept at operative room temperatue.