J.ophthalmol.(Ukraine).2016;1:51-54.

https://doi.org/10.31288/oftalmolzh201615154

Features of new phaco needle model for penetration of lens nucleus: an experimental study

Ya.A. Gritsenko, MD

S.K. Dmitriev,  Dr. Sc. (Med), Prof

N.V. Pasyechnikova, Dr. Sc. (Med), Prof

Filatov Institute of Eye Diseases and Tissue Therapy

Odessa, Ukraine

E-mail: awsed2005@ukr.net

Background. Although ultrasound phacoemulsification (phaco) is a common method for removing a cataract for different lens densities, the phaco of a high-density nucleus remains an important issue. This is primarily associated with the technical difficulties of removing the high-density nucleus when it is impossible to break it up completely.

Purpose. To determine and compare the forces required for improved and conventional phaco needles to penetrate the isolated dense crystalline lens in vitro.

Materials and Methods. The experimental study involved 15 crystalline lenses from patients who had undergone a conventional extracapsular cataract extraction. Two phaco needles, a conventional phaco needle (INTREPID® Micro-Coaxial System) and an improved one (Patent of Ukraine for the useful model No. 64851), were used in experiments.

Results. In the in vitro experimental study, it was established that the mean force measurement value for the improved phaco needle was 1.4 times lower than that for the conventional needle.

Conclusion. The use of the improved needle for the phaco of a high-density nucleus is reasonable and makes it possible to penetrate deeply into the lens and divide the lens into fragments in a prompter and more efficacious manner than with the use of the conventional phaco needle.

Key words:improved phaco needle, phacoemulsification


References

1.        Kopaeva VG, Andreev IuV, Belikov AV et al. [Laser extraction of brown cataracts with an Nd-YAG 1.44 mcm laser]. Vestn Oftalmol. 2002 Jan-Feb;118(1):22-6. Russian

2.        Korosteleva NF, Marchenkova TE. [Importance of biomicroscopy in the determination of density of cataract before phacoemulsification]. Vestn Oftalmol. 1989 Nov-Dec;105(6):43-5. Russian

3.        Korosteleva NF, Nersesov IuE, Shalygin GF. [A method to determine nuclear hardness]. Oftalmokhir.  1990;1:42-5. Russian

4.        Czygan G, Hartung C. Mechanical testing of isolated senile human eye lens nuclei. Med Eng Phys. 1996; 18(5): 345-9.
        Crossref   Pubmed

5.        Heyworth P, Thompson GM, Tabandeh H. et al. The relationship between clinical classification of cataract and lens hardness. Eye (Lond). 1993;7 (Pt 6):726-30.
        Crossref   Pubmed

6.        Tabandeh H., Thompson GM, Heyworth P. Lens hardness in mature cataracts. Eye (Lond). 1994;8 (Pt 4):453-8.
        Crossref   Pubmed

7.        Avetisov KS. [New approaches to investigation of crystalline lens based on combined ultrasound technique]. [Cand. Sc. Thesis]. Moscow: Russian State Medical University; 2011. 128 p. Russian

8.        Gritsenko YaA, Dmitriev SK, Kovalchuk AG et al. [An improved method for determining the density characteristics of the lens in patients with age-related cataract by ultrasound B-scan]. Oftalmol Zh. 2015;1:96-102.
        Crossref   Pubmed

9.        Gritsenko YaA, Dmitriev SK, Pasyechnikova NV. [Improved needle for phacoemulsification of high-density nuclei]. Oftalmol Zh. 2015;1  Russian