Utilizing Active Fluidics at Reduced Intraocular Pressure Alleviates Intraoperative Discomfort During Phacoemulsification: A Propensity Score-Matched Analysis - Report - MDSpire
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Utilizing Active Fluidics at Reduced Intraocular Pressure Alleviates Intraoperative Discomfort During Phacoemulsification: A Propensity Score-Matched Analysis
Clinical Report: Utilizing Active Fluidics at Reduced Intraocular Pressure
Overview
This study demonstrates that phacoemulsification using active fluidics at a reduced intraocular pressure (IOP) significantly decreases intraoperative discomfort compared to traditional gravity-based fluidics. Patients in the active fluidics group reported lower pain scores and required less supplemental anesthesia.
Background
Phacoemulsification is a common surgical procedure for cataracts, yet maintaining adequate IOP is crucial for patient comfort and corneal health. Elevated IOP during surgery can lead to increased discomfort and corneal stress, highlighting the need for improved surgical techniques. Active fluidics technology allows for lower IOP maintenance, potentially enhancing patient-centered outcomes.
Data Highlights
Outcome
Active Fluidics Group
Gravity-Based Fluidics Group
Supplemental Anesthesia Requirement
3.1%
13.8%
Median Pain Score
1
3
Day-1 CCT Increase
28.4 μm
46.8 μm
Key Findings
Active fluidics resulted in a significantly lower requirement for supplemental anesthesia (3.1% vs. 13.8%, p = 0.028).
Median pain scores during surgery were lower in the active fluidics group (1 vs. 3, p < 0.001).
Day-1 central corneal thickness increase was less in the active fluidics group (28.4 μm vs. 46.8 μm, p < 0.001).
No intraoperative complications were reported in either group.
Endothelial cell density loss and final visual acuity were comparable between the two groups.
Clinical Implications
The findings suggest that utilizing active fluidics at lower IOP can enhance patient comfort during phacoemulsification without compromising safety or visual outcomes. Surgeons may consider adopting this technology to improve the overall surgical experience for patients.
Conclusion
Phacoemulsification with active fluidics at reduced IOP is associated with lower intraoperative discomfort and less postoperative corneal edema, supporting its use in cataract surgery.
