Surgical Efficiency Comparison Between Two Phacoemulsification Devices
Published 2024
- 42nd Congress of the ESCRS
Reference: PO526
| Type: Free paper
| DOI:
10.82333/jk96-zx98
Authors:
Marta Ibarz* 1
, Paz Orts-Vila 2
, Fátima Martínez-Galdón 1
, Noemí Martín-García 2
, Pedro Tañá-Rivero 2
1Oftalvist,Madrid,Spain, 2Oftalvist,Alicante,Spain
Purpose
To assess the surgical efficiency in cataract surgery comparing two phacoemulsification systems.
Setting
Oftalvist Madrid (Spain), and Oftalvist Alicante (Spain)
Methods
This was a prospective, consecutive-comparative study in a 2-site private practice. 301 eyes undergoing standard or femtosecond laser-assisted (FLACS) cataract surgery with either the R-Evo Smart (n=155) and or the Centurion Vision System (n=146)were analyzed. Preoperative eye characteristics (degree of cataract using LOCS III grading) and intraoperative outcomes (total US time and total estimated fluid aspirated/drainage bag weighting) were registered in all cases.
Results
Mean total US time was 18.99±12.85 and 40.24±21.91 secs for the R-Evo and CVS groups, respectively (p<0.01). Mean total estimated fluid aspirated/drainage bag weighting was 53.00±14.56g and 54.33±14.88cc for the R-Evo and CVS groups, respectively (p=0.21). Considering non-FLACS surgery (98 eyes with the R-Evo and 63 eyes with the CVS), mean cataract grade was 2.95±0.74 and 2.97±0.91 for the R-Evo and CVSgroups, respectively (p=0.44). Mean total US time was 19.96±11.20 and 42.84±28.35 seconds for the R-Evo and CVS groups, respectively (p<0.01). Mean total estimated fluid aspirated/drainage bag weighting was 55.95± 14.76 g and 55.97±13.62 cc for the R-Evo and CVS groups, respectively (p=0.49).
Conclusions
The objective measurement of surgical efficiency through total ultrasound time during lens removal and fluid consumption during both lens removal and irrigation/aspiration proved R-Evo Smart to be an efficient phacoemulsification platform, in comparison with the current standard of care Centurion Vision System