This content from the 2020 ASCRS Virtual Annual Meeting is only available to ASCRS members. To log in, click the teal "Login" button in the upper right-hand corner of this page.
To compare Cumulative Dissipated Energy (CDE) in dense cataracts, early post operative Corneal Volume (CCV) and Endothelial Count (EC) among 3 groups i.e. FLACS Grid (Gr 1) and Hybrid (Gr 2) with Micro Incision Cataract Surgery (MICS) (Gr 3).
Each group comprised of 40 patients and respective CDE values were noted. Pre and post-operative EC, CCV and Pentacam Nucleus Grading were measured
Tukey Post Hoc Analysis showed significance among the groups for CDE values (p=0.000). 1st day post-op CCV was lesser in Gr 1 (63.13±3.57) as compared to Gr 2 (63.42±10.2) & Gr 3 (67.97±4.38); p=0.036 and 30th day Post-op CCV were 61.61±3.45: 62.29±4.27 and 62.5±4.03 respectively (p=0.130). Post-op EC were lower in MICS group at 1st & 30th day but not significant (p=0.31)
FLACS Grid and Hybrid pre treatment allowed for a significant reduction in CDE compared to MICS for denser lens nuclei resulting in less endothelial cell trauma and less central corneal swelling.