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Comparison of intraocular lens implantation with and without viscoelastic material in standard phacoemulsification surgery

Poster Details

First Author: Y.Ayaz TURKEY

Co Author(s):    H. Ilhan   M. Unal                 

Abstract Details


To evaluate the effect of hydroimplantation in standard cataract surgery with phacoemulsification.


The present study is a retrospective, randomized, single centre study. Seventy four eyes of 74 patients who underwent standart phacoemulsification cataract surgery between November 2016 and June 2017 were registered. Surgeries were performed at Akdeniz University School of Medicine.


Seventy-four eyes of 74 patients who underwent facoemulsification and implantation of foldable intraocular lens (IOL) were evaluated retrospectively. Twenty one were female and fourty five were male. The patients were assigned to Group 1 or Group 2. IOL implantation was performed with hydroimplantation in group 1 (n=35) and %1 Na Hyaluronate (Protectalon VSY Biotechnology) was used in Group 2 (n=39).


There were no statistically significant differences of IOL astigmatism and depth of anterior chamber between two groups. There were no statistically significant difference of IOP between two groups, before and after surgery excluding the 24h postoperative IOP, but patients in group 2 had statistically significant change in IOP than that in the group 1 at 24h after surgery (p=0,009). There were no statistically significant difference between two groups in visual function and axial length. No case in either group experienced posterior capsular rupture, or zonular dialysis.


Phacoemulsification surgery performed with hydro-implantation is a safe method. Although there is no difference in the depth of anterior chamber, lenticular astigmatism, postoperative visual acuity and axial length compared to viscoelastic in general, intraocular pressure is significantly lower on day 1 postoperatively. In conclusion, the hydroimplantation technique is a feasible technique in standard cataract surgery, but it needs to be supported by multicenter studies.

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