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Eye Clinic Day Hospital - SÃO Paulo - Brazil

Published byFátima Bentes Modified over 5 years ago

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Presentation on theme: "Eye Clinic Day Hospital - SÃO Paulo - Brazil"— Presentation transcript:

1 Eye Clinic Day Hospital - SÃO Paulo - Brazil
Comparison of Microcoaxial and Clear Corneal Incision Using Visante OCT ™ Mariana Ávila, MD Adriana Forseto, MD, Phd Walton Nosé, MD, Phd Eye Clinic Day Hospital - SÃO Paulo - Brazil Unifesp - SÃO Paulo - Brazil *The authors do not have any financial interest

2 (Visante OCT ™,Carl Zeiss)
Purpose To investigate microcoaxial and clear corneal incision (CCI) architecture in the postoperative period using non-contact anterior segment optical coherence tomography (Visante OCT ™,Carl Zeiss)

3 Methods Prospective study 30 patients submitted to phaco Incision
Microcoaxial 2.20 mm width (15 eyes) Clear corneal 2.75 mm width (15 eyes) IOL implantation Monarch injector Cartridge C

4 Methods Postoperative evaluation 1st day, 1st and 3rd months
Slitlamp examination Seidel test IOP measurement Visante OCT™ Incision architecture Configuration Coaptation Stability

5 Descemet’s Detachment (*)
Results Incision Descemet’s Detachment (*) Configuration Microcoaxial 46,7 % (1st day) 0% (1st and 3rd months) Straight Line Clear Corneal 0% ( 1st day, 1st and 3rd months) Arcuate *No Descemet’s Detachment was observed at slitlamp examination

6 Detachment of Descemet’s membrane
Visante OCT ™ MicrocoaxiaL Incision Detachment of Descemet’s membrane 1 day postoperative 1 month postoperative

7 Visante OCT ™ Clear Corneal Incision
1 day postoperative

8 Visante OCT ™ MicrocoaxiaL x Clear corneal Incisions
Straight line configuration Clear Corneal Arcuate configuration

9 Results Good Good (OCT) (negative Seidel) Incision Stability
Coaptation Microcoaxial Good Good (OCT) (negative Seidel) Clear Corneal

10 Results 10 +/- 2mmHg 14 +/- 2mmHg Incision Mean IOP Microcoaxial
Clear Corneal 14 +/- 2mmHg

11 Conclusions Visante OCT™ analysis of Microcoaxial and Clear Corneal Incision post phaco showed: a higher percentage of Descemet’s Detachment in the Microcoaxial group at the 1st postoperative day; that localized detachment of Descemet’s membrane may be more common than observed with slit-lamp microscopy; different incisions' configurations between the two groups with no difference regarding proper coaptation and stability.

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