AIM： To evaluate surgical outcomes（SOs） and visual outcomes（VOs） in cataract surgery comparing the Centurion？ phacoemulsification system（CPS） with the Infiniti？ phacoemulsification system（IPS）.METHODS： Pro...AIM： To evaluate surgical outcomes（SOs） and visual outcomes（VOs） in cataract surgery comparing the Centurion？ phacoemulsification system（CPS） with the Infiniti？ phacoemulsification system（IPS）.METHODS： Prospective, consecutive study in a singlesite private practice. Totally 412 patients undergoing cataract surgery with either the CPS using the 30-degree balanced？ tip（n=207） or the IPS using the 30-degree Kelman？ tip（n=205）. Intraoperative and postoperative outcomes were documented prospectively up to one month follow-up. Nuclear sclerosis（NS） grade, cumulated dissipated energy（CDE）, preoperative corrected distance visual acuity（CDVA）, and CDVA at one month were recorded. RESULTS： CDE was 13.50% less in the whole CPS compared with the whole IPS subcohort. In eyes with NS grade III or greater, CDE was 28.87% less with CPS（n=70） compared with IPS（n=44）（P=0.010）. Surgical complications were not statistically different between the two subcohorts（P=0.083）, but in the one case of vitreous loss using the CPS, CDVA of 6/4 was achieved at one month. The mean CDVAs（VOs） at one month for NS grade III and above cataracts were-0.17 log MAR（6/4.5） in the CPS and-0.15 log MAR（6/4.5） in the IPS subcohort respectively（P=0.033）.CONCLUSION： CDE is 28.87% less, and VOs are significantly improved, in denser cataracts in the CPS compared with the IPS. The authors recommend the CPS for cases with denser nuclei.展开更多
文摘AIM： To evaluate surgical outcomes（SOs） and visual outcomes（VOs） in cataract surgery comparing the Centurion？ phacoemulsification system（CPS） with the Infiniti？ phacoemulsification system（IPS）.METHODS： Prospective, consecutive study in a singlesite private practice. Totally 412 patients undergoing cataract surgery with either the CPS using the 30-degree balanced？ tip（n=207） or the IPS using the 30-degree Kelman？ tip（n=205）. Intraoperative and postoperative outcomes were documented prospectively up to one month follow-up. Nuclear sclerosis（NS） grade, cumulated dissipated energy（CDE）, preoperative corrected distance visual acuity（CDVA）, and CDVA at one month were recorded. RESULTS： CDE was 13.50% less in the whole CPS compared with the whole IPS subcohort. In eyes with NS grade III or greater, CDE was 28.87% less with CPS（n=70） compared with IPS（n=44）（P=0.010）. Surgical complications were not statistically different between the two subcohorts（P=0.083）, but in the one case of vitreous loss using the CPS, CDVA of 6/4 was achieved at one month. The mean CDVAs（VOs） at one month for NS grade III and above cataracts were-0.17 log MAR（6/4.5） in the CPS and-0.15 log MAR（6/4.5） in the IPS subcohort respectively（P=0.033）.CONCLUSION： CDE is 28.87% less, and VOs are significantly improved, in denser cataracts in the CPS compared with the IPS. The authors recommend the CPS for cases with denser nuclei.
