Publicação
Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery
| Resumo: | ABSTRACT Purpose: To assess the efficacy of using a nonsteroidal anti-inflammatory drug preoperatively and of applying the re-dilation technique when necessary to minimize pupil size variation when comparing the degree of mydriasis before femtosecond laser pretreatment with that at the beginning of phacoemulsification. Methods: This retrospective study included patients who underwent cataract surgery using the LenSx (Alcon Laboratories, Inc., Fort Worth, TX). Our routine dilating regimen with flurbiprofen, tropicamide, and phenylephrine was used. The re-dilation technique was applied on eyes that manifested with a pupillary diameter that was smaller than the programmed capsulotomy diameter after laser pretreatment. The technique consists of overcoming pupillary contraction by instilling tropicamide and phenylephrine before phacoemulsification. Pupil size was assessed before femtosecond laser application and at the beginning of phacoemulsification. Results: Seventy-five eyes (70 patients) were included. Nine (12%) eyes underwent the re-dilation technique. There was no significant difference in mean pupillary diameter and mean pupillary area between the two studied surgical time points (p=0.412 and 0.437, respectively). The overall pupillary area constriction was 2.4 mm2. Immediately before opening the wounds for phacoemulsification, none of the eyes presented with a pupillary diameter <5 mm, and 61 (85.3%) eyes had a pupillary diameter >6 mm. Conclusion: Preoperative administration of nonsteroidal anti-inflammatory drug and the re-dilation technique resulted in no significant pupil size variation in eyes that were pretreated with the femtosecond laser, when comparing the measurements made before the laser application and at the beginning of phacoemulsification. This approach can avoid the need to proceed with cataract extraction with a constricted pupil. |
|---|---|
| Autores principais: | Ventura,Bruna Vieira |
| Outros Autores: | Rabello,Laura Portela; Silvestre,Fernanda; Ventura,Marcelo Carvalho |
| Assunto: | Cataract extraction Preoperative period Laser therapy Intraoperative complications Miosis Nonsteroidal anti-inflammatory drugs |
| Ano: | 2019 |
| País: | Brasil |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | IBICT |
| Idioma: | inglês |
| Origem: | Oasisbr |
| _version_ | 1871509967169650688 |
|---|---|
| author | Ventura,Bruna Vieira |
| author2 | Rabello,Laura Portela Silvestre,Fernanda Ventura,Marcelo Carvalho |
| author2_role | author author author |
| author_facet | Ventura,Bruna Vieira Rabello,Laura Portela Silvestre,Fernanda Ventura,Marcelo Carvalho |
| author_role | author |
| country_str | BR |
| creators_json_txt | [{\"Person.name\":\"Ventura,Bruna Vieira\"},{\"Person.name\":\"Rabello,Laura Portela\"},{\"Person.name\":\"Silvestre,Fernanda\"},{\"Person.name\":\"Ventura,Marcelo Carvalho\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Ventura,Bruna Vieira Rabello,Laura Portela Silvestre,Fernanda Ventura,Marcelo Carvalho |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Cataract extraction Preoperative period Laser therapy Intraoperative complications Miosis Nonsteroidal anti-inflammatory drugs |
| datacite.titles.title.fl_str_mv | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery |
| dc.creator.none.fl_str_mv | Ventura,Bruna Vieira Rabello,Laura Portela Silvestre,Fernanda Ventura,Marcelo Carvalho |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492019000200111 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Conselho Brasileiro de Oftalmologia |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Arquivos Brasileiros de Oftalmologia v.82 n.2 2019 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
| dc.subject.none.fl_str_mv | Cataract extraction Preoperative period Laser therapy Intraoperative complications Miosis Nonsteroidal anti-inflammatory drugs |
| dc.title.fl_str_mv | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | ABSTRACT Purpose: To assess the efficacy of using a nonsteroidal anti-inflammatory drug preoperatively and of applying the re-dilation technique when necessary to minimize pupil size variation when comparing the degree of mydriasis before femtosecond laser pretreatment with that at the beginning of phacoemulsification. Methods: This retrospective study included patients who underwent cataract surgery using the LenSx (Alcon Laboratories, Inc., Fort Worth, TX). Our routine dilating regimen with flurbiprofen, tropicamide, and phenylephrine was used. The re-dilation technique was applied on eyes that manifested with a pupillary diameter that was smaller than the programmed capsulotomy diameter after laser pretreatment. The technique consists of overcoming pupillary contraction by instilling tropicamide and phenylephrine before phacoemulsification. Pupil size was assessed before femtosecond laser application and at the beginning of phacoemulsification. Results: Seventy-five eyes (70 patients) were included. Nine (12%) eyes underwent the re-dilation technique. There was no significant difference in mean pupillary diameter and mean pupillary area between the two studied surgical time points (p=0.412 and 0.437, respectively). The overall pupillary area constriction was 2.4 mm2. Immediately before opening the wounds for phacoemulsification, none of the eyes presented with a pupillary diameter <5 mm, and 61 (85.3%) eyes had a pupillary diameter >6 mm. Conclusion: Preoperative administration of nonsteroidal anti-inflammatory drug and the re-dilation technique resulted in no significant pupil size variation in eyes that were pretreated with the femtosecond laser, when comparing the measurements made before the laser application and at the beginning of phacoemulsification. This approach can avoid the need to proceed with cataract extraction with a constricted pupil. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| id | oasisbr_dfce0d36782ac5b0b6fa253d1bbcb043 |
| identifier.url.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492019000200111 |
| inst_facet_str | urn:organizationAcronym:oasisbr{{{_:::_}}}IBICT |
| instacron_str | OASISBR |
| institution | IBICT |
| instname_str | IBICT |
| language | eng |
| network_acronym_str | oasisbr |
| network_name_str | Oasisbr |
| oai_identifier_str | oai:scielo:S0004-27492019000200111 |
| organization_str_mv | urn:organizationAcronym:oasisbr |
| person_str_mv | Ventura,Bruna Vieira Rabello,Laura Portela Silvestre,Fernanda Ventura,Marcelo Carvalho |
| publishDate | 2019 |
| publisher.none.fl_str_mv | Conselho Brasileiro de Oftalmologia |
| repo_facet_str | urn:repositoryAcronym:oasisbr{{{_:::_}}}Oasisbr |
| reponame_str | Oasisbr |
| repository_id_str | urn:repositoryAcronym:oasisbr |
| service_str_mv | urn:repositoryAcronym:oasisbr |
| spelling | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgeryVentura,Bruna VieiraRabello,Laura PortelaSilvestre,FernandaVentura,Marcelo CarvalhoCataract extractionPreoperative periodLaser therapyIntraoperative complicationsMiosisNonsteroidal anti-inflammatory drugsopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492019000200111URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492019000200111URLHasVersion2019-03-01ABSTRACT Purpose: To assess the efficacy of using a nonsteroidal anti-inflammatory drug preoperatively and of applying the re-dilation technique when necessary to minimize pupil size variation when comparing the degree of mydriasis before femtosecond laser pretreatment with that at the beginning of phacoemulsification. Methods: This retrospective study included patients who underwent cataract surgery using the LenSx (Alcon Laboratories, Inc., Fort Worth, TX). Our routine dilating regimen with flurbiprofen, tropicamide, and phenylephrine was used. The re-dilation technique was applied on eyes that manifested with a pupillary diameter that was smaller than the programmed capsulotomy diameter after laser pretreatment. The technique consists of overcoming pupillary contraction by instilling tropicamide and phenylephrine before phacoemulsification. Pupil size was assessed before femtosecond laser application and at the beginning of phacoemulsification. Results: Seventy-five eyes (70 patients) were included. Nine (12%) eyes underwent the re-dilation technique. There was no significant difference in mean pupillary diameter and mean pupillary area between the two studied surgical time points (p=0.412 and 0.437, respectively). The overall pupillary area constriction was 2.4 mm2. Immediately before opening the wounds for phacoemulsification, none of the eyes presented with a pupillary diameter <5 mm, and 61 (85.3%) eyes had a pupillary diameter >6 mm. Conclusion: Preoperative administration of nonsteroidal anti-inflammatory drug and the re-dilation technique resulted in no significant pupil size variation in eyes that were pretreated with the femtosecond laser, when comparing the measurements made before the laser application and at the beginning of phacoemulsification. This approach can avoid the need to proceed with cataract extraction with a constricted pupil.engtext/htmlConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia v.82 n.2 2019reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBOjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery Ventura,Bruna Vieira Cataract extraction Preoperative period Laser therapy Intraoperative complications Miosis Nonsteroidal anti-inflammatory drugs |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Cataract extraction Preoperative period Laser therapy Intraoperative complications Miosis Nonsteroidal anti-inflammatory drugs |
| title | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery |
| title_full | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery |
| title_fullStr | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery |
| title_full_unstemmed | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery |
| title_short | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery |
| title_sort | Efficacy of preoperative nonsteroidal anti-inflammatory drug and the re-dilation technique in minimizing miosis after femtosecond laser in cataract surgery |
| topic | Cataract extraction Preoperative period Laser therapy Intraoperative complications Miosis Nonsteroidal anti-inflammatory drugs |
| topic_facet | Cataract extraction Preoperative period Laser therapy Intraoperative complications Miosis Nonsteroidal anti-inflammatory drugs |
| url | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492019000200111 |
| visible | 1 |
Atividades financiadas
Não foram encontrados projetos financiados.