ESCRS - PO337 - Surgical Outcomes Of Phacoemulsification With Different Fluidics Systems (Centurion With Active Sentry Vs. Centurion Gravity) In Cataract Patients With Eye Axial Length Above 26Mm

Surgical Outcomes Of Phacoemulsification With Different Fluidics Systems (Centurion With Active Sentry Vs. Centurion Gravity) In Cataract Patients With Eye Axial Length Above 26Mm

Published 2025 - 43rd Congress of the ESCRS

Reference: PO337 | Type: Free paper | DOI: 10.82333/eyxe-br43

Authors: Adir Sommer* 1 , Margarita Safir 2 , Marcony Santhiago 3 , Waseem Nasser 1 , Dror Ben Ephraim Noyman 1 , Tzahi Sela 4 , Gur Munzer 4 , Igor Kaiserman 5 , Eyal Cohen 6 , Michael Mimouni 1

1Rambam Health Care Campus,Haifa,Israel, 2Rabin Medical Center,Petah Tikva,Israel, 3at University of Sao Paulo,Sao Paulo,Brazil, 4Care-Vision Laser Center,Tel Aviv,Israel, 5Barzilai Medical Center,Ashkelon,Israel, 6Tel Aviv Sourasky Medical Center,Tel Aviv,Israel

Purpose

To evaluate intra-op and post-op clinical performance of the Alcon Centurion with Active Sentry and under gravity mode in cataract patients with eye axial lengths > 26mm.

Setting

Methods

Fifty-two eyes of 43 cataract patients with axial lengths > 26mm were enrolled and randomly divided into the active fluidics system (AFS) group using a Centurion Active Sentry handpiece under 30 mmHg IOP setting (26 eyes) and the gravity fluidics system (GFS) group in gravity mode under 80 cmH2O IOP setting (26 eyes). Intraoperative parameters, visual acuity, parafoveal macular vessel density and macular thickness were analyzed.

Results

We observed no significant differences in best corrected visual acuity (BCVA), macular thickness, cumulative dissipated energy (CDE), total case time, as well as ophthalmic viscoelastic devices (OVDs) usage between the two groups. However, we found less pain complaints during surgeries and a more stable macular vessel density post-surgery in the AFS group than in the GFS group, implying higher intraoperative comfort levels and less retinal ischemia during cataract surgery using Centurion with Active Sentry under low IOP settings.

Conclusions

Owing to a lower IOP setting, CenturionVision System with Active Sentry handpiece causes less retinal ischemia and pain perception during phacoemulsification for high myopia patients.