Real-time intraocular pressure measurement during phacoemulsification in dogs
ex vivo |
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Authors: | Seonmi KANG Sangwan PARK Hyunwoo NOH Jiyoon KWAK Kangmoon SEO |
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Institution: | 1)Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, 151–742, Republic of Korea |
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Abstract: | This study was performed to evaluate changes in intraocular pressure (IOP) during
standard coaxial phacoemulsification using 4 different bottle heights (BHs) and 2
different incision sizes. Coaxial phacoemulsification was performed with a venturi-based
machine in 8 enucleated canine eyes through 3.0 and 3.2 mm clear corneal incisions (CCIs).
A pressure transducer inserted in the peripheral cornea monitored the IOP in real-time.
The surgery was subdivided into 4 stages: sculpt-segment removal, irrigation/aspiration,
capsular polishing and viscoelastic removal. The mean IOP and the difference between the
maximum and minimum IOPs were calculated at each stage and compared. The ultrasound time
and volume of irrigation fluid used were recorded. The mean IOP increased with an
elevation in the BH. The mean IOP in the irrigation/aspiration stage was significantly
higher than that in the sculpt-segment removal stage at the same BH. The difference
between the maximum and minimum IOP at each stage was greater in the 3.2 mm than the 3.0
mm CCIs, although the mean IOP was lower with the 3.2 mm than the 3.0 mm CCIs. The
ultrasound time and irrigation fluid volume were greater with the 3.2 mm than the 3.0 mm
CCIs. Therefore, fluidic parameters during each stage could be reassessed and adjusted to
reduce complications arising from an elevated IOP. Phacoemulsification with 3.0 mm CCIs at
a lower BH might lead to less stress on the eye from IOP fluctuations, ultrasound energy
and irrigation fluid. |
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Keywords: | canine fluidic parameter hydrodynamic stress intraocular pressure phacoemulsification |
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