Evaluation of corneal biomechanical properties after uneventful standard coaxial phacoemulsification surgery

C. Çankaya, Fatih Ulaş, Derya Doğanay, P. Firat, S. Doğanay
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Abstract

Aim: This study was designed to investigate the alteration of intraocular pressure measurements and biomechanical properties of the cornea in patients who underwent uneventful standard coaxial phacoemulsification cataract surgery through 2.75 mm corneal main incision with intraocular lens implantation. Material and Methods: 15 eyes of 15 patients admitted to our clinic because of the cataract problems in the study. Corneal hysteresis (CH), corneal resistance factor (CRF) measurements, Goldmann correlated (IOPg), and corneal compensated intraocular pressure (IOPcc) values were recorded by ocular response analyzer (ORA) before and 1 day, 1 week and 1 month after surgery. Results: The mean age of the patients was 64.3 ± 8.06 years. Preoperative mean CH, CRF, IOPg and IOPcc values were 8.23±2.10, 9.33±2.27, 18.54±3.42 and 19.66±3.22, respectively. The mean CH, CRF, IOPg and IOPcc values were 5.50±2.07, 8.69±2.04, 22.29±3.37 and 23.83±3.32, respectively on the first day after the surgery. The mean CH, CRF, IOPg and IOPcc values were 5.25±1.83, 8.29±2.10, 18.86±2.72 and 20.20±3.37, respectively of the first week after the surgery. The mean CH, CRF, IOPg and IOPcc values were 7.88±1.99, 8.37±1.83, 15.81±2.60 and 16.41±2.80, respectively in the first month after the surgery. Conclusion: These results revealed that the biomechanical properties of the cornea may change during the first one month period after uneventful standard coaxial phacoemulsification surgery.
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标准同轴超声乳化手术后角膜生物力学特性的评价
目的:本研究旨在探讨经2.75 mm角膜主切口行标准同轴超声乳化白内障手术并人工晶状体植入术患者眼压测量和角膜生物力学特性的变化。材料与方法:本研究收治的15例白内障患者共15眼。术前、术后1天、1周、1个月用眼反应分析仪(ORA)记录角膜迟滞(CH)、角膜阻力因子(CRF)、golmann相关(IOPg)、角膜代偿眼压(IOPcc)值。结果:患者平均年龄64.3±8.06岁。术前CH、CRF、IOPg、IOPcc均值分别为8.23±2.10、9.33±2.27、18.54±3.42、19.66±3.22。术后第1天CH、CRF、IOPg、IOPcc均值分别为5.50±2.07、8.69±2.04、22.29±3.37、23.83±3.32。术后1周CH、CRF、IOPg、IOPcc均值分别为5.25±1.83、8.29±2.10、18.86±2.72、20.20±3.37。术后1个月CH、CRF、IOPg、IOPcc均值分别为7.88±1.99、8.37±1.83、15.81±2.60、16.41±2.80。结论:这些结果揭示了角膜生物力学特性在正常的标准超声乳化手术后的第一个月内可能发生变化。
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