ESCRS - PP11.05 - Comparison Of Clinical Outcomes Of Cataract Surgery Operating At Iop 30Mmhg Vs 60Mmhg In Cataract Patients With High Myopia

Comparison Of Clinical Outcomes Of Cataract Surgery Operating At Iop 30Mmhg Vs 60Mmhg In Cataract Patients With High Myopia

Published 2025 - 43rd Congress of the ESCRS

Reference: PP11.05 | Type: Free paper | DOI: 10.82333/ss58-fb15

Authors: Sathish Srinivasan* 1

1Ayrshire Eye Clinic,Ayr,United Kingdom

Purpose

To compare the clinical outcomes of cataract surgery operating at low IOP (30mmHg) vs traditional IOP (60mmHg) using Centurion active fluidics system with Active Sentry handpiece in high myopic cataracts patients.

Setting

prospective, randomized, contralateral eye study

Methods

Patients with high myopic cataracts who planned to undergo cataract surgery were included and randomly divided into experimental (30mmHg) and control (60mmHg) groups in the study. The OCTA (VG S) was performed on both eyes to get central fovea thickness (CFT) and parafoveal vessel density, while axial lengths (AL), anterior chamber depth (ACD), Central corneal thickness (CCT) of both eyes were obtained by IOL Master700 before surgery and at 1day and 1 week after surgery. Cumulative dissipated energy (CDE), aspiration time, phaco time and estimated fluid usage (EFU) were obtained during surgery.

Results

33 patients with high myopic cataract were enrolled. The aspiration time was longer in the experimental group than in the control group (73.6±17.46 vs 61.00±13.61, p=0.013). Percentage of CCT increase at 1d and 1w post-op of the experimental group was slightly lower than the control group (1d 2.08% vs 4.51%;1w 0.37% vs 0.76%). Two groups showed no statistically significant difference in the change of central fovea thickness and parafoveal vessel density from preoperative value at both 1w and 1d postoperatively.

Conclusions

Centurion with Active Sentry was safe and could benefit high myopic cataract patients because of the little impact on cornea, retinal vasculature. Physiologic IOP setting cataract surgery may better protect the cornea of high myopic patients.