Clinical results of the open ring PMMA guider assisted capsulorrhexis in cataract surgery

Abstract Background To compare the results of continuous curvilinear capsulorrhexis(CCC) after application of an open ring-shaped guider compared with a free-hand procedure in eyes with cataracts. Methods This study comprised patients undergoing cataract surgery in Seoul St.Mary’s Hospital, The Cath...

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Main Authors: Jee Hye Lee, Yong Eun Lee, Choun-Ki Joo
Format: Article
Language:English
Published: BMC 2018-05-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-018-0782-6
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author Jee Hye Lee
Yong Eun Lee
Choun-Ki Joo
author_facet Jee Hye Lee
Yong Eun Lee
Choun-Ki Joo
author_sort Jee Hye Lee
collection DOAJ
description Abstract Background To compare the results of continuous curvilinear capsulorrhexis(CCC) after application of an open ring-shaped guider compared with a free-hand procedure in eyes with cataracts. Methods This study comprised patients undergoing cataract surgery in Seoul St.Mary’s Hospital, The Catholic University of Korea. Eyes were grouped depending on the capsulotomy method; CCC was performed by free-hand procedure on 94 eyes (free-hand group), and it was performed under the guidance after introduction of an open ring-shaped guider on consecutive 89 eyes (guided group). Horizontal and vertical diameter, area and circularity of capsulotomy were measured postoperatively at one day, two months and six months. Differences in parameters and the percentage of ideal capsulorrhexis were analyzed between the two groups. Results On the first postoperative day, the vertical diameter in the guided group (5.24 ± 0.16 mm) was significantly longer than that of the free-hand group (5.01 ± 0.65 mm, P = 0.019). The area of capsulotomy was larger in the guided group (21.55 ± 0.87 mm2) than that of the free-hand group (20.34 ± 2.96 mm2, P < 0.001). Circularity in the guided group (0.84 ± 0.03), was significantly greater than that of the free-hand group (0.69 ± 0.17, P = 0.036). Ideal capsulorrhexis was obtained in 60 eyes (67%) in the free-hand group and 81 eyes (86%) in the guided group. Conclusions After introduction of an open ring-shaped guider, CCC became larger and more circular with less anterior capsular contracture. The rate of acquiring ideal capsulorrhexis was higher in the guided group than it was in the free-hand group for six months after surgery.
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spelling doaj.art-4ec0c8af2e944f22839877ee6e1a292b2022-12-21T22:58:21ZengBMCBMC Ophthalmology1471-24152018-05-011811610.1186/s12886-018-0782-6Clinical results of the open ring PMMA guider assisted capsulorrhexis in cataract surgeryJee Hye Lee0Yong Eun Lee1Choun-Ki Joo2Department of Ophthalmology & Visual Science, Seoul St. Mary’s Hospital, The Catholic University of KoreaThe Ian eye centerDepartment of Ophthalmology & Visual Science, Seoul St. Mary’s Hospital, The Catholic University of KoreaAbstract Background To compare the results of continuous curvilinear capsulorrhexis(CCC) after application of an open ring-shaped guider compared with a free-hand procedure in eyes with cataracts. Methods This study comprised patients undergoing cataract surgery in Seoul St.Mary’s Hospital, The Catholic University of Korea. Eyes were grouped depending on the capsulotomy method; CCC was performed by free-hand procedure on 94 eyes (free-hand group), and it was performed under the guidance after introduction of an open ring-shaped guider on consecutive 89 eyes (guided group). Horizontal and vertical diameter, area and circularity of capsulotomy were measured postoperatively at one day, two months and six months. Differences in parameters and the percentage of ideal capsulorrhexis were analyzed between the two groups. Results On the first postoperative day, the vertical diameter in the guided group (5.24 ± 0.16 mm) was significantly longer than that of the free-hand group (5.01 ± 0.65 mm, P = 0.019). The area of capsulotomy was larger in the guided group (21.55 ± 0.87 mm2) than that of the free-hand group (20.34 ± 2.96 mm2, P < 0.001). Circularity in the guided group (0.84 ± 0.03), was significantly greater than that of the free-hand group (0.69 ± 0.17, P = 0.036). Ideal capsulorrhexis was obtained in 60 eyes (67%) in the free-hand group and 81 eyes (86%) in the guided group. Conclusions After introduction of an open ring-shaped guider, CCC became larger and more circular with less anterior capsular contracture. The rate of acquiring ideal capsulorrhexis was higher in the guided group than it was in the free-hand group for six months after surgery.http://link.springer.com/article/10.1186/s12886-018-0782-6Continuous curvilinear capsulorrhexis(CCC)Open ring-shaped guider for CCC(ORGC)Ideal CCC
spellingShingle Jee Hye Lee
Yong Eun Lee
Choun-Ki Joo
Clinical results of the open ring PMMA guider assisted capsulorrhexis in cataract surgery
BMC Ophthalmology
Continuous curvilinear capsulorrhexis(CCC)
Open ring-shaped guider for CCC(ORGC)
Ideal CCC
title Clinical results of the open ring PMMA guider assisted capsulorrhexis in cataract surgery
title_full Clinical results of the open ring PMMA guider assisted capsulorrhexis in cataract surgery
title_fullStr Clinical results of the open ring PMMA guider assisted capsulorrhexis in cataract surgery
title_full_unstemmed Clinical results of the open ring PMMA guider assisted capsulorrhexis in cataract surgery
title_short Clinical results of the open ring PMMA guider assisted capsulorrhexis in cataract surgery
title_sort clinical results of the open ring pmma guider assisted capsulorrhexis in cataract surgery
topic Continuous curvilinear capsulorrhexis(CCC)
Open ring-shaped guider for CCC(ORGC)
Ideal CCC
url http://link.springer.com/article/10.1186/s12886-018-0782-6
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