Wound integrity of modified anterior stromal hydration Vs. conventional hydration after clear corneal incision phacoemulsification
Purpose: To compare the self-sealing ability of temporal clear corneal incisions for phacoemulsification using conventional stromal hydration (CH) with two modified methods: the anterior stromal pocket hydration (ASPH) and the modified stromal pocket hydration (MASH). Methods: Patients undergoing ro...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1769;epage=1774;aulast=Lohmror |
| _version_ | 1818726249580724224 |
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| author | Isha Lohmror Pankaj Sharma Sonal Kalia |
| author_facet | Isha Lohmror Pankaj Sharma Sonal Kalia |
| author_sort | Isha Lohmror |
| collection | DOAJ |
| description | Purpose: To compare the self-sealing ability of temporal clear corneal incisions for phacoemulsification using conventional stromal hydration (CH) with two modified methods: the anterior stromal pocket hydration (ASPH) and the modified stromal pocket hydration (MASH). Methods: Patients undergoing routine phacoemulsification surgeries were randomized to receive the CH, ASPH, and MASH (n = 30 eyes in each group). In the ASPH, an anterior stromal pocket was created superficial and parallel while in the MASH; it was superficial and perpendicular to the plane of the main incision. The primary outcome measure was wound leakage assessed after applying firm downward pressure on the posterior lip of the main corneal incision, simulating eye rubbing. Results: On application of pressure to the posterior lip, leakage was seen from 19 eyes (63%) in the CH group, while this was seen in only two eyes (7%) each in the ASPH and MASH groups (P < 0.001). The likelihood of wound leak after applying pressure to the posterior lip reduced by 86% in the ASPH and MASH groups compared to CH (Odds ratio = 0.14, 95% CI = 0.05 – 0.35, P < 0.001). The mean surgically induced astigmatism was 0.18 ± 0.14D and there were no differences in SIA across the three groups (P = 0.42). More eyes in the ASPH required conversion to CH (n = 4, 13%) due to difficulty in localizing the pocket compared to MASH (n = 0, P = 0.03) Conclusion: Both, the ASPH and MASH techniques reduce the risk of wound leakage and do not induce astigmatism. The MASH technique makes it easier to consistently localize the pocket. |
| first_indexed | 2024-12-17T21:55:12Z |
| format | Article |
| id | doaj.art-6fd02702e9db407d8d3feaa11523a484 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-17T21:55:12Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-6fd02702e9db407d8d3feaa11523a4842022-12-21T21:31:09ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-016971769177410.4103/ijo.IJO_3239_20Wound integrity of modified anterior stromal hydration Vs. conventional hydration after clear corneal incision phacoemulsificationIsha LohmrorPankaj SharmaSonal KaliaPurpose: To compare the self-sealing ability of temporal clear corneal incisions for phacoemulsification using conventional stromal hydration (CH) with two modified methods: the anterior stromal pocket hydration (ASPH) and the modified stromal pocket hydration (MASH). Methods: Patients undergoing routine phacoemulsification surgeries were randomized to receive the CH, ASPH, and MASH (n = 30 eyes in each group). In the ASPH, an anterior stromal pocket was created superficial and parallel while in the MASH; it was superficial and perpendicular to the plane of the main incision. The primary outcome measure was wound leakage assessed after applying firm downward pressure on the posterior lip of the main corneal incision, simulating eye rubbing. Results: On application of pressure to the posterior lip, leakage was seen from 19 eyes (63%) in the CH group, while this was seen in only two eyes (7%) each in the ASPH and MASH groups (P < 0.001). The likelihood of wound leak after applying pressure to the posterior lip reduced by 86% in the ASPH and MASH groups compared to CH (Odds ratio = 0.14, 95% CI = 0.05 – 0.35, P < 0.001). The mean surgically induced astigmatism was 0.18 ± 0.14D and there were no differences in SIA across the three groups (P = 0.42). More eyes in the ASPH required conversion to CH (n = 4, 13%) due to difficulty in localizing the pocket compared to MASH (n = 0, P = 0.03) Conclusion: Both, the ASPH and MASH techniques reduce the risk of wound leakage and do not induce astigmatism. The MASH technique makes it easier to consistently localize the pocket.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1769;epage=1774;aulast=Lohmrorphacoemulsificationwound hydrationstromal pocketclear corneal incision |
| spellingShingle | Isha Lohmror Pankaj Sharma Sonal Kalia Wound integrity of modified anterior stromal hydration Vs. conventional hydration after clear corneal incision phacoemulsification Indian Journal of Ophthalmology phacoemulsification wound hydration stromal pocket clear corneal incision |
| title | Wound integrity of modified anterior stromal hydration Vs. conventional hydration after clear corneal incision phacoemulsification |
| title_full | Wound integrity of modified anterior stromal hydration Vs. conventional hydration after clear corneal incision phacoemulsification |
| title_fullStr | Wound integrity of modified anterior stromal hydration Vs. conventional hydration after clear corneal incision phacoemulsification |
| title_full_unstemmed | Wound integrity of modified anterior stromal hydration Vs. conventional hydration after clear corneal incision phacoemulsification |
| title_short | Wound integrity of modified anterior stromal hydration Vs. conventional hydration after clear corneal incision phacoemulsification |
| title_sort | wound integrity of modified anterior stromal hydration vs conventional hydration after clear corneal incision phacoemulsification |
| topic | phacoemulsification wound hydration stromal pocket clear corneal incision |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1769;epage=1774;aulast=Lohmror |
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