J Otolaryngol Ophthalmol Shandong Univ ›› 2017, Vol. 31 ›› Issue (4): 80-83.doi: 10.6040/j.issn.1673-3770.0.2016.281

Previous Articles     Next Articles

Impact of scleral tunnel incision and clear corneal incision on the tear film of patients with cataract after phacoemulsification.

WENG Biyan, LIU Can   

  1. Department of Ophtalmology, The Third Peoples Hospital of Baiyun District, Guangzhou 510540, Guangdong, China
  • Received:2016-06-22 Online:2017-08-16 Published:2017-08-16

PDF (PC)

311

Abstract: Objective To investigate the impact of scleral tunnel incision and clear corneal incision phacoemulsification on tear film of patients with cataract. Methods Totally 86 patients with cataract who received phacoemulsification during February 2014-October 2015 were set enrolled and were divided into two groups according to the different operative insicion, 43 cases in each group. For experimental group, clear corneal incision was used. For control group, scleral tunnel incision was used., The effects of two kinds of phacoemulsification incision on the functions of tear film in each patient were observed 1, 7, 15 and 30 days after operation. Results The break-up time(BUT)in experimental group were obviously shortened compared with operation before, and experimental group were obviously shorter than those in the control group 1, 7 and 15 days after operation, 30 days after the operation, BUT of both groups were obviously longer compared with operation before, the differences were statistically significant(all P<0.05). The secretion levels in both groups were significantly improved compared with operation before, and the secretion level in experimental group were obviously higher than those of control group 1, 7, 15 and 30 days after operation, the differences were statistically significant(all P<0.05). Conclusion Impact on tear film after clear corneal incision phacoemulsification is significantly lower compared with scleral tunnel incision phacoemulsification. Therefore, clear corneal incision is more worthy of clinical pervasive application.

Key words: Scleral tunnel incision, Tear film, Phacoemulsification, Clear corneal incision

CLC Number: 

  • R779.66
[1] Yu L. Clinical observation of the corneal changes after clear corneal incision and the phacoemulsification of scleral tunnel incision[J]. Acta Medicinae Sinica, 2013, 34(13):56-112.
[2] 陈子畅, 田耀文, 马雅玲, 等. 不同切口白内障超声乳化摘除术对泪膜的影响[J]. 中国医药导报, 2014, 11(26):50-53. CHEN Zichang, TIAN Yaowen, MA Yaling, et al. Influence of different phacoemulsification incision on tear film[J]. Chin Med Herald, 2014, 11(26):50-53.
[3] Zeng ZR, Ophthalmology DO. Influence of different phacoemulsification incision on postoperative corneal astigmatism for cataract patients[J]. Inter Eye Sci, 2014, 12(76):78-109.
[4] Al Mahmood AM, Al-Swailem SA, Behrens A. Clear corneal incision in cataract surgery.[J]. Mid East Af J Ophthalmol, 2014, 21(1):25-31.
[5] 孙宇, 周宏峰, 苏婷, 等. 巩膜隧道切口与透明角膜切口行白内障超声乳化术对泪膜功能的影响[J]. 中外医疗, 2015, 34(7):58-59. SUN Yu, ZHOU Hongfeng, SU Ting, et al. Influence of scleral tunnel incision and clear corneal incision phacoemulsification on tear film function[J]. Chin For Med Treat, 2015, 34(7):58-59.
[6] Aykut V, Kirgiz A, Ay BG, et al. Comparison of pre-incision and single-stepped clear corneal incision in phacoemulsification surgery[J]. Eur Rev Med Pharmaco, 2014, 18(12):1698-1703.
[7] 王班伟, 蒋兆荣, 李丹, 等. 两种不同切口白内障超声乳化术后泪膜稳定性的比较[J]. 广东医学院学报, 2013, 31(4):381-382. WANG Banwei, JIANG Zhaorong, LI Dan, et al. Comparison of different phacoemulsification incision on tear film stability[J]. J Guangdong Med Col, 2013, 31(4):381-382.
[8] Shuai T, Zhao J, Zeng YL, et al. Surgery induced astigmatism in phacoemulsification with 2.4 mm clear corneal incision[J]. J Clin Ophthalmol, 2013, 185(78):1125-1128.
[9] Shen MH, Fang CK, Ophthalmology DO. Long-term effect of different incisions on the tear film after phacoemulsification[J]. Inte Eye Sci, 2014, 88(432):124-321.
[10] Zhang H. Effects of phacoemulsification on tear-film stability and protein in patients with high myopia combined with age-related cataract[J]. Recent Adv Ophthalmol, 2013, 66(78):23-56.
[11] Cui YL, Liu ZY, Ophthalmology DO. Study after phacoemulsification tear film stability changes[J]. Inner Mong Med J, 2015, 101(78):46-50.
[12] 丁琳, 邢立臣. 白内障超声乳化不同切口对术后泪膜稳定性影响的研究[J].中国实用护理杂志, 2013, 29(15):1-3. DING Lin, XING Lichen. Research in the effect of different cataract ultrasonic emulsification incision on the stability of the tear film after operation[J]. Chin J Prac Nurs, 2013, 29(15):1-3.
[13] Venincasa VD, Galor A, Feuer W, et al. Long-Term effects of cataract surgery on tear film parameters[J]. Sci World J, 2013, 2013(1):68-75.
[14] 李盛国, 邝国平, 陈书扬, 等. 白内障超声乳化手术不同切口与术后泪膜之间的关系[C] //全国中医眼科名家学术研讨会论文集, 2014, 23(17):322-326.
[15] Chen W, Yang CY, Wang EP, et al. Influence of clear corneal incisions on the corneal astigmatism after phacoemulsification[J]. Int Eye Sci, 2013, 67(8):46-54.
[1] WANG Xinmeng, JI Junya, YU Haonan, FU Hongchen, WANG Xiang, ZHENG Zekun, LI Yan, ZHONG Yingying. Analysis of refractive prediction accuracy after phacoemulsification combined with goniosynechialysis in acute Angle closure glaucoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(2): 74-79.
[2] NING Yuyun, LI Tong, ZHANG Xinxin. Topical pharmacologic treatment of dry eye disease associated with meibomian gland dysfunction [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(2): 125-132.
[3] HAO Wenna, MENG Wei, SHAO Zhen, LIU Dongmei. Long-term rotation stability and visual quality of Toric intraocular lens implantation with steep-axis clear corneal incision [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 108-112.
[4] XIN Meng, JI Fang, DAI Chunhua, ZHANG Jing, LIU Shu. Effect of sodium hyaluronate and balanced salt solution on ocular surface protection during minimally invasive vitreorentinal surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 58-65.
[5] DONG Shuguang, GUO Fengfei, MENG Xuxia, YAN Shilong. Retrospective analysis of the causes of anterior capsular tear in early femtosecond laser-assisted cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 110-114.
[6] LI YansongOverview,ZHU YuguangGuidance. Research progress on the effects of tear film stability on visual quality after phacoemulsification [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 19-25.
[7] SHI Boying, LIANG Hao, LI Yihong, TANG Dongyong. Surgical treatment of a cataract complicated by anti-glaucoma surgery in an adult patient with Blau syndrome [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 60-65.
[8] REN Qing, ZHANG Feng. A case of oculocutaneous albinism combined with bilateral complicated cataract and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 66-69.
[9] YANG Ru, ZHANG Yuguang, XU Xianghui, WU Xuelian, TAO Yuan, TAN Yue. A clinical study on the effect of phacoemulsification on the retinal structure in the macular region of senile cataract [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 97-102.
[10] ZHANG Tao, CAO Kaiwei, LIU Lina, LIU Ting, BAI Ji. Comparative study of the effects of different protective measures of the non-operative eye during SMILE surgery on tear film stability [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 32-35.
[11] CHEN Ying, LI Yuanbin. Progress in the treatment of congenital cataract [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 143-148.
[12] TU Xuefeng. Clinical effect of combination therapy of sodium hyaluronate and recombinant bovine basic fibroblast growth factor on dry eye after phacoemulsification [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 84-87.
[13] LI Houxiu, LIU Zhonghua, CHEN Zhi. Risk factors for rupture of the capsule membrane during phacoemulsification cataract surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 88-90.
[14] GAO Xue, HAO Linlin, LIU Shaohua, ZHANG Han. Comparison of two intraocular lens measurement formulas for prediction of postoperative refraction accuracy in patients with angle closure glaucoma and cataract [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 68-71.
[15] ZHENG Wanqiu, WAN Wenjuan, LI Can. Application of anterior chamber maintainer in posterior capsular rupture in cataract surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 9-12.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd