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Jurnal
Rangkuman dan Hasil : The purpose of this research is to investigate whether modern
Pembelajaran phacoemulsification surgery results in more damage to the
corneal endothelium than extracapsular cataract extraction
(ECCE). The results indicates that there are no significant
difference in overall corneal endothlial cell loss was foound
between there 2 operative techniques.
Judul Jurnal :
ESCRS study of prophylaxis of postoperative
endophthalmitis after cataract surgery
Latar Belakang & Tujuan : To report results in the European Society of Cataract &
Refractive Surgeons (ESCRS) multicenter study of the
prophylaxis of endophthalmitis after cataract surgery.
Metodologi : This partially masked randomized placebo-controlled
multinational clinical study to evaluate prospectively the
prophylactic effect of intracameral cefuroxime injection
and/or perioperative levofloxacin eyedrops on the incidence
of endophthalmitis after phacoemulsification cataract surgery
began in September 2003 and was terminated early in January
2006. The study used random allocation of patients in a 2 2
factorial design.
Hasil : By the end of 2005, complete follow-up records had been
received for 13698 study patients. Such a clear beneficial
effect from the use of intracameral cefuroxime had been
observed that it was agreed it would be unethical to continue
the study and to wait for the completion of all follow-up
procedures before reporting this important result. If total
reported cases of endophthalmitis are considered, the
incidence rate observed in those treatment groups not
receiving cefuroxime prophylaxis (23 cases in 6862 patients)
was almost 5 times as high (odds ratio [OR], 4.59; 95%
confidence interval [CI], 1.74-12.08; P = .002) as that in the
groups receiving this treatment (5 cases in 6836 patients). If
only cases proved to be due to infection are considered, the
rate was more than 5 times as high (OR, 5.32; 95% CI, 1.55-
18.26; P = .008) in the treatment groups not receiving
cefuroxime. Although the use of perioperative levofloxacin
eyedrops as prophylaxis was also associated with a reduction
in the observed incidence rate of postoperative
endophthalmitis, this effect was smaller and was not
statistically significant, whether total reported cases or only
cases proven to be due to infection are used in calculating the
rates. As not all follow-up procedures are complete, it is
possible that further cases of endophthalmitis may be
reported; however, it is not expected that this will alter the
main conclusion. Nevertheless, it is anticipated that successful
completion of follow-up procedures in all patients will
increase the total number in the study to approximately 16
000.
Hasil : Mean endothelial cell loss was 5.41% 8.50 (SD) at 1 month
and 5.93 8.50% at 3 months.
Rangkuman dan Hasil : The purpose of this research is to determine whether lidocaine
Pembelajaran 1% injected into the anterior chamber during
phacoemulsification damaged the corneal endothelium. The
results shows that phacoemulsification surgery can be
performed successfully using topical anesthesia supplemented
by lidocaine 1% in the anterior chamber.
Judul Jurnal : Corneal endothelial damage after cataract surgery:
Microincision versus standard technique
Hasil : The mean preoperative cell count in the entire sample was
2245 cells/mm2 37 (SE). The mean decreased by 102 cells
at 1 month (95% confidence interval [CI], 133 to 71;
P<.001) and by 144 cells at 3 months (95% CI, 187 to 102;
P<.001). The difference between the standard group and the
MICS group was 25 cells at baseline (95% CI, 169 to 120
cells; P = .739), 19 cells at 1 month (95% CI, 163 to 126; P =
.799), and 19 cells at 3 months (95% CI, 164 to 125; P = .
793). There were no changes in the coefficient of variation or
morphology in the overall sample, and the pattern of change
did not differ between the 2 groups. Corneal thickness
increased by 10.2 m in the overall sample (95% CI, +4.5 to
+16.0; P<.001) and approached baseline values by 3 months
with an increase of 3.4 m (95% CI, 4.1 to 10.8; P = .372).
There was no difference in corneal thickness between the
groups.
Rangkuman dan Hasil : This research is made to compare corneal endothelial changes
Pembelajaran after phacoemulsification performed with a standard
technique versus a bimanual microincision cataract surgery
(MICS) technique. From the results can be concluded that
there are no significant differences in corneal endothelial cell
loss or endothelial morphology were found between MICS
and standard incision techniques.
Latar Belakang & Tujuan : To assess the feasibility, risks, and postoperative outcomes of
phacoemulsification with posterior chamber intraocular lens
(PC IOL) implantation in cases of white cataract with the use
of trypan blue as an adjunct for performing continuous
curvilinear capsulorhexis (CCC) in the absence of a red
reflex.
Hasil : Trypan blue adequately stained the anterior lens capsule in all
cases. The CCC was completed uneventfully in 96.15% eyes;
3.85% of cases had to be converted to a conventional
extraction technique because of the loss of the CCC. The
mean phacoemulsification time was 2.2 minutes. Intraocular
complications included incomplete capsulorhexis (3.85%) and
pupillary miosis (3.80%). Postoperatively, 3 eyes (5.77%) had
corneal edema (striate keratopathy) and 1 eye (1.9%) had
fibrin in the anterior chamber. Five eyes (9.61%) had more
than 2+ cells and flare at 2 weeks. All responded well to
intensive topical and subconjunctival steroids. There were no
cases of endophthalmitis. The mean central endothelial cell
loss, measured in 37 eyes, was 8.5%. Of the 4 eyes (7.69%)
that had increased intraocular pressure (IOP) postoperatively,
all responded well to medications and the IOP was normal by
the second postoperative week. Fifty eyes (96.16%) had a
final best corrected visual acuity of 20/30 or better. In 2 cases,
the final visual acuity was worse than 20/200 because of
preexisting posterior segment pathology.
Rangkuman dan Hasil : This research is made to assess the feasibility, risks, and
Pembelajaran postoperative outcomes of phacoemulsification with posterior
chamber intraocular lens (PC IOL) implantation in cases of
white cataract with the use of trypan blue as an adjunct for
performing continuous curvilinear capsulorhexis (CCC) in the
absence of a red reflex. Trypan blue adequately stained the
anterior lens capsule in all cases. The CCC was completed
uneventfully in 96.15% eyes; 3.85% of cases had to be
converted to a conventional extraction technique because of
the loss of the CCC. From this results, it can be concluded
that phacoemulsification using trypan blue was safe and
effective in managing white cataract and had a high success
rate.
Judul Jurnal : Medical control of intraocular pressure after
phacoemulsification
Latar Belakang & Tujuan : To compare the effectiveness of oral acetazolamide, topical
brinzolamide 1%, and no ocular hypotensive medication after
phacoemulsification.
Rangkuman dan Hasil : The main purpose of this research is to compare the
Pembelajaran effectiveness of oral acetazolamide, topical brinzolamide 1%,
and no ocular hypotensive medication after
phacoemulsification. The preoperative IOP was not
significantly different between the 3 groups. Brinzolamide
was as effective as acetazolamide in preventing IOP elevation
4 to 6 hours after phacoemulsification and more effective than
acetazolamide at 18 to 24 hours.
Judul Jurnal : Corneal endothelial changes after divide and conquer
versus chip and flip phacoemulsification
Latar Belakang & Tujuan : To evaluate changes in central corneal endothelial cells and
corneal thickness after divide and conquer
phacoemulsification and chip and flip phacoemulsification.
Metodologi : Forty-four eyes were randomly assigned to one of two groups
to have divide and conquer (D/C Group) or chip and flip (C/F
Group) phacoemulsification with implantation of a posterior
chamber, foldable, silicone intraocular lens performed by one
surgeon. Of these, 41 eyes of 37 patients (22 D/C Group, 19
C/F Group) met the inclusion criteria. All surgeries were
uneventful. A complete eye examination including specular
microscopy and pachymetry was performed preoperatively
and 1 week and 1 and 3 months postoperatively.
Hasil : There were no significant between-group differences in any of
the following means: sex; age; time at 70% phaco power; total
phacoemulsification time. No correlation was found between
ultrasound time and increased corneal thickness except for a
significant increase in percentage of hexagonal cells in the
C/F Group at 1 month. The only statistically significant
between-group differences were greater endothelial cell loss
in the C/F Group at 1 month and the percentage change in
hexagonal cells at 1 week (1.1 % increase, D/C Group; 10.7%
decrease, C/F Group).
Kesimpulan : The divide and conquer technique led to less endothelial loss
and hexagonal cell change than the chip and flip technique,
although at 3 months the differences were not significant.
Rangkuman dan Hasil : From the results gathered in this researched it can be
Pembelajaran concluded that there were no significant between-group
differences in any of the following means: sex; age; time at
70% phaco power; total phacoemulsification time. No
correlation was found between ultrasound time and increased
corneal thickness except for a significant increase in
percentage of hexagonal cells in the C/F Group at 1 month.
The divide and conquer technique led to less endothelial loss
and hexagonal cell change than the chip and flip technique,
although at 3 months the differences were not significant.