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Sealed‐capsule irrigation with distilled deionized water to prevent posterior capsule opacification
Author(s) -
Rekas M.,
Kluś A.,
Kosatka M.
Publication year - 2015
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2015.0179
Subject(s) - phacoemulsification , capsule , capsulorhexis , distilled water , ophthalmology , medicine , posterior capsule opacification , surgery , chemistry , biology , botany , chromatography , visual acuity
Summary Purpose To evaluate efficacy and safety of sealed‐capsule irrigation ( SCI ) using distilled water ( DW ). Materials and methods Phacoemulsification was performed in 60 patients. In the control the capsular bag was mechanically cleaned ( MC ), in the DW group DW for 3′ in SCI was additionally applied. SN 60 WF IOL was implanted in all eyes. Examinations were performed before and 1, 30, 180 days, 1 and 2 years after surgery. UDVA , CDVA , IOP , K 2 ‐ SIA , SEQ , endothelial cell and the complications were examined. Total PCO score in the area of 1, 3 mm and capsulorhexis ( CAPS ) were determined using EPCO 2000. Results As far as safety parameters are concerned, no differences were observed between groups ( P > 0.05). However, in the DW group the endothelial cell loss was higher ( P < 0.05). Total PCO score differences were observed in both groups between the areas ( P < 0.05). In CAPS area both, Total PCO score and PCO area were decreased in DW group ( P < 0.05). PCO was also lower within 3 mm zone in the DW group ( P < 0.05). Conclusions SCI is a safe procedure and the endothelial cells loss can be associated with the Perfect Capsule ™ device in the anterior chamber insertion. DW irrigated for 3′ reduces PCO in long‐term follow‐up.