Effect of cataract surgery using iris retractor on corneal endothelium and anterior segment parameters in patients with non-dilated pupils

Burak Ören; İbrahim Halil Türkman

Makale detayları

Effect of cataract surgery using iris retractor on corneal endothelium and anterior segment parameters in patients with non-dilated pupils

Yazarlar:

Burak Ören | İbrahim Halil Türkman

Yayıncı:

Adıyaman University

Ana Başlıklar:

Göz Hastalıkları

Dergi:

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi Vol.11 Issue 2, pp.122-128

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001356918

pISSN:

2458-9179

Anahtar kelimeler:

Özet:

 Aim: To evaluate the outcomes of cataract surgery performed using flexible iris retractor hooks FIRHs in patients with non-dilated pupils and assess the effects on corneal endothelium and anterior segment parameters. Materials and Methods: This retrospective study included patients with non-dilated pupils who underwent cataract surgery using FIRHs. Their best-corrected visual acuity BCVA, intraocular pressure IOP, anterior chamber depth ACD, aqueous depth AD, central corneal thickness CCT, and endothelial cell density ECD were recorded preoperatively and postoperatively. Results: This study included 32 eyes from 30 patients. The mean IOP p  0.307 and CCT p  0.149 did not differ significantly between the preoperative and postoperative measurements. However, BCVA, ACD, and AD increased significantly from preoperatively to postoperatively, while ECD significantly decreased all p  0.001. Conclusion: FIRHs can be safely used for pupil dilation during cataract surgery on patients with small pupils and provide favorable surgical outcomes for both patients and surgeons.

 Aim: To evaluate the outcomes of cataract surgery performed using flexible iris retractor hooks FIRHs in patients with non-dilated pupils and assess the effects on corneal endothelium and anterior segment parameters. Materials and Methods: This retrospective study included patients with non-dilated pupils who underwent cataract surgery using FIRHs. Their best-corrected visual acuity BCVA, intraocular pressure IOP, anterior chamber depth ACD, aqueous depth AD, central corneal thickness CCT, and endothelial cell density ECD were recorded preoperatively and postoperatively. Results: This study included 32 eyes from 30 patients. The mean IOP p  0.307 and CCT p  0.149 did not differ significantly between the preoperative and postoperative measurements. However, BCVA, ACD, and AD increased significantly from preoperatively to postoperatively, while ECD significantly decreased all p  0.001. Conclusion: FIRHs can be safely used for pupil dilation during cataract surgery on patients with small pupils and provide favorable surgical outcomes for both patients and surgeons.

 Aim: To evaluate the outcomes of cataract surgery performed using flexible iris retractor hooks FIRHs in patients with non-dilated pupils and assess the effects on corneal endothelium and anterior segment parameters. Materials and Methods: This retrospective study included patients with non-dilated pupils who underwent cataract surgery using FIRHs. Their best-corrected visual acuity BCVA, intraocular pressure IOP, anterior chamber depth ACD, aqueous depth AD, central corneal thickness CCT, and endothelial cell density ECD were recorded preoperatively and postoperatively. Results: This study included 32 eyes from 30 patients. The mean IOP p  0.307 and CCT p  0.149 did not differ significantly between the preoperative and postoperative measurements. However, BCVA, ACD, and AD increased significantly from preoperatively to postoperatively, while ECD significantly decreased all p  0.001. Conclusion: FIRHs can be safely used for pupil dilation during cataract surgery on patients with small pupils and provide favorable surgical outcomes for both patients and surgeons.

 Amaç: Bu retrospektif çalışmada, dilate olmayan pupillalarda fleksibl iris retraktör kancaları FIRK kullanılarak gerçekleştirilen katarakt cerrahisinin sonuçlarını, kornea endoteli ve ön segment parametreleri üzerindeki etkilerini değerlendirmeyi amaçladık. Gereç ve Yöntem: Dilate olmayan pupillalarda katarakt cerrahisinde FIRK kullanılan olgular çalışmaya dahil edildi. Düzeltilmiş en iyi görme keskinliği DEGK, göz içi basıncı, ön kamara derinliği ÖKD, aköz derinliği AD, santral kornea kalınlığı SKK ve endotelyal hücre yoğunluğu EHY ameliyat öncesi ve sonrasında kaydedildi. Bulgular: Çalışmaya 30 hastanın 32 gözü dahil edildi. Ortalama göz içi basıncı ve SKKde ameliyat öncesi ve ameliyat sonrası anlamlı fark gözlenmedi. Ameliyat sonrası DEGK, ÖKD ve AD anlamlı arttı, EHY ise istatistiksel olarak anlamlı azaldı p 0,001 Sonuç: FIRH, küçük pupillaya sahip katarakt hastalarında ameliyat sırasında pupilla dilatasyonunda güvenle kullanılabilir, hasta ve cerrah için iyi sonuçlar verir.

Makale detayları

Effect of cataract surgery using iris retractor on corneal endothelium and anterior segment parameters in patients with non-dilated pupils

Yazarlar:

Burak Ören | İbrahim Halil Türkman

Yayıncı:

Adıyaman University

Ana Başlıklar:

Göz Hastalıkları

Dergi:

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi Vol.11 Issue 2, pp.122-128

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001356918

pISSN:

2458-9179

Small pupil

Iris retractor hook

Cataract surgeryKüçük pupil

İris retraktör Kancası

Katarakt cerrahisi

Sayı

Makale detayları

Effect of cataract surgery using iris retractor on corneal endothelium and anterior segment parameters in patients with non-dilated pupils

Yazarlar: Burak Ören | İbrahim Halil Türkman

Yayıncı: Adıyaman University

Ana Başlıklar: Göz Hastalıkları

Dergi: Adıyaman Üniversitesi Sağlık Bilimleri Dergisi Vol.11 Issue 2, pp.122-128

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001356918

pISSN: 2458-9179

Small pupil

Iris retractor hook

Cataract surgeryKüçük pupil

İris retraktör Kancası

Katarakt cerrahisi

Sayı

Yazarlar:

Burak Ören | İbrahim Halil Türkman

Yayıncı:

Adıyaman University

Ana Başlıklar:

Göz Hastalıkları

Dergi:

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi Vol.11 Issue 2, pp.122-128

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001356918

pISSN:

2458-9179