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Klin Monbl Augenheilkd 2001; 218(4): 204-208
DOI: 10.1055/s-2001-14914
KLINISCHE STUDIE

Georg Thieme Verlag Stuttgart ·New York

Einfluss der Dauer der Phakoemulsifikation auf die postoperative Inflammation - eine retrospektive Studie[1]

Influence of phacotime on postoperative inflammation - a retrospective studyAndreas  J. Kruger, Jörg Schauersberger, Claudette Abela-Formanek, Gebtraud Schild, Christian Kellner, Julia Kolodjaschna, Michael Amon
  • Universitätsklinik für Augenheilkunde und Optometrie, AKH Wien, Währinger Gürtel 18 - 20, 1090 Wien, Österreich
  • (Vorstand: O. Univ.-Prof. Dr. Heinz Freyler)
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Publication History

Publication Date:
31 December 2001 (online)

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Zusammenfassung

Hintergrund Die frühe postoperative Inflammation nach Kataraktchirurgie ist vorwiegend durch das Operationstrauma bedingt.

Patienten und Methoden Die Daten von 450 augengesunden Patienten, die sich einer Kleinschnitt-Routinekataraktchirurgie unterzogen, wurden retrospektiv analysiert. Die postoperative Inflammation wurde standardisiert am 1., 3., 7. und 28. Tag mit dem Laser-Flare-Cell-Meter Kowa FC-1000 gemessen. Alle Operationen wurden mit derselben Phakomaschine Orbit der Firma Oertli durchgeführt und die absolute Dauer der Phakoemulsifikation gemessen. Die teststatistische Auswertung erfolgte nach Klassierung der Daten mittels Student-t-Test.

Ergebnisse In der ersten postoperativen Woche zeigt sich ein statistisch signifikanter Unterschied zwischen den Gruppen mit kurzer Phakozeit (bis 39 Sekunden Dauer) und der Gruppe mit langer Phakozeit (über 80 Sekunden). Ein Monat postoperativ war dies nicht mehr nachweisbar.

Schlussfolgerungen Die Dauer der Phakoemulsifikation hat einen wesentlichen Einfluss auf die postoperative Inflammation. Operationstechniken und Operationsgeräte, die helfen die Phakozeiten zu verkürzen, sind auch in Hinblick auf die postoperative Inflammation vorzuziehen.

Background The early postoperative inflammation after cataract surgery is mainly caused by surgical trauma.

Patients and Methods 450 data-sheets of patients, who were operated for senile cataract with small-incision phacoemulsification and in-the-bag implantation of a foldable intraocular lens were retrospectively analysed. Postoperative inflammation was evaluated with the Laser Flare-Cell Meter Kowa FC-1000 on day 1, 3, 7 and 28. All the operations were done with the same phacomachine model Orbit Oertli. The absolute phacotime was measured, the data classified in steps of 20 seconds. Statistical analysis was made with the student's t-test.

Results In the first postoperative week there is a statistical significant difference in the flare-values between the groups with short phacotime (up to 39 seconds) and the group with long phacotimes (over 80 seconds). One month after operation this significance was absent.

Conclusions The early postoperative inflammation is influenced by the duration of phacoemulsification. Surgical techniques and phacomachines that may reduce phacotime are helpful with respect to early postoperative inflammation.

Schlüsselwörter

Katarakt - Laser-Flare-Cell-Meter - Blut-Kammerwasser-Schranke - Inflammation - Phakoemulsifikation

Key words

Cataract - Laser-Flare-Cell-Meter - blood-aqueous-barrier - inflammation - phacoemulsification

01 1 Manuskript erstmalig eingereicht am 19. 10. 00 und in der vorliegenden Form angenommen am 1. 12. 00.

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01 1 Manuskript erstmalig eingereicht am 19. 10. 00 und in der vorliegenden Form angenommen am 1. 12. 00.

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