Retrospective Comparison of Intraoperative Parameters, Efficacy and Safety in Cataract Surgery Between Halogen and Light-Emitting Diode (LED) Illuminated Surgical Microscope
Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between usin...
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Tangjanyatam S [verfasserIn] |
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E-Artikel |
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Englisch |
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2021 |
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In: Clinical Ophthalmology - Dove Medical Press, 2009, (2021), Seite 3721-3726 |
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year:2021 ; pages:3721-3726 |
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DOAJ068368313 |
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| 520 | |a Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope | ||
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(DE-627)DOAJ068368313 (DE-599)DOAJ2ff61cf896314eaba50146e2581484a5 DE-627 ger DE-627 rakwb eng RE1-994 Tangjanyatam S verfasserin aut Retrospective Comparison of Intraoperative Parameters, Efficacy and Safety in Cataract Surgery Between Halogen and Light-Emitting Diode (LED) Illuminated Surgical Microscope 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope operative time ultrasound time light source operative microscope. Ophthalmology In Clinical Ophthalmology Dove Medical Press, 2009 (2021), Seite 3721-3726 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2021 pages:3721-3726 https://doaj.org/article/2ff61cf896314eaba50146e2581484a5 kostenfrei https://www.dovepress.com/retrospective-comparison-of-intraoperative-parameters-efficacy-and-saf-peer-reviewed-fulltext-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 3721-3726 |
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(DE-627)DOAJ068368313 (DE-599)DOAJ2ff61cf896314eaba50146e2581484a5 DE-627 ger DE-627 rakwb eng RE1-994 Tangjanyatam S verfasserin aut Retrospective Comparison of Intraoperative Parameters, Efficacy and Safety in Cataract Surgery Between Halogen and Light-Emitting Diode (LED) Illuminated Surgical Microscope 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope operative time ultrasound time light source operative microscope. Ophthalmology In Clinical Ophthalmology Dove Medical Press, 2009 (2021), Seite 3721-3726 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2021 pages:3721-3726 https://doaj.org/article/2ff61cf896314eaba50146e2581484a5 kostenfrei https://www.dovepress.com/retrospective-comparison-of-intraoperative-parameters-efficacy-and-saf-peer-reviewed-fulltext-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 3721-3726 |
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(DE-627)DOAJ068368313 (DE-599)DOAJ2ff61cf896314eaba50146e2581484a5 DE-627 ger DE-627 rakwb eng RE1-994 Tangjanyatam S verfasserin aut Retrospective Comparison of Intraoperative Parameters, Efficacy and Safety in Cataract Surgery Between Halogen and Light-Emitting Diode (LED) Illuminated Surgical Microscope 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope operative time ultrasound time light source operative microscope. Ophthalmology In Clinical Ophthalmology Dove Medical Press, 2009 (2021), Seite 3721-3726 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2021 pages:3721-3726 https://doaj.org/article/2ff61cf896314eaba50146e2581484a5 kostenfrei https://www.dovepress.com/retrospective-comparison-of-intraoperative-parameters-efficacy-and-saf-peer-reviewed-fulltext-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 3721-3726 |
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(DE-627)DOAJ068368313 (DE-599)DOAJ2ff61cf896314eaba50146e2581484a5 DE-627 ger DE-627 rakwb eng RE1-994 Tangjanyatam S verfasserin aut Retrospective Comparison of Intraoperative Parameters, Efficacy and Safety in Cataract Surgery Between Halogen and Light-Emitting Diode (LED) Illuminated Surgical Microscope 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope operative time ultrasound time light source operative microscope. Ophthalmology In Clinical Ophthalmology Dove Medical Press, 2009 (2021), Seite 3721-3726 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2021 pages:3721-3726 https://doaj.org/article/2ff61cf896314eaba50146e2581484a5 kostenfrei https://www.dovepress.com/retrospective-comparison-of-intraoperative-parameters-efficacy-and-saf-peer-reviewed-fulltext-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 3721-3726 |
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(DE-627)DOAJ068368313 (DE-599)DOAJ2ff61cf896314eaba50146e2581484a5 DE-627 ger DE-627 rakwb eng RE1-994 Tangjanyatam S verfasserin aut Retrospective Comparison of Intraoperative Parameters, Efficacy and Safety in Cataract Surgery Between Halogen and Light-Emitting Diode (LED) Illuminated Surgical Microscope 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope operative time ultrasound time light source operative microscope. Ophthalmology In Clinical Ophthalmology Dove Medical Press, 2009 (2021), Seite 3721-3726 (DE-627)560177089 (DE-600)2415713-2 11775483 nnns year:2021 pages:3721-3726 https://doaj.org/article/2ff61cf896314eaba50146e2581484a5 kostenfrei https://www.dovepress.com/retrospective-comparison-of-intraoperative-parameters-efficacy-and-saf-peer-reviewed-fulltext-article-OPTH kostenfrei https://doaj.org/toc/1177-5483 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 3721-3726 |
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There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. 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Retrospective Comparison of Intraoperative Parameters, Efficacy and Safety in Cataract Surgery Between Halogen and Light-Emitting Diode (LED) Illuminated Surgical Microscope |
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Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope |
| abstractGer |
Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope |
| abstract_unstemmed |
Sagol Tangjanyatam Department of Ophthalmology, Hua Hin Hospital, Prachuap Khiri Khan, ThailandCorrespondence: Sagol Tangjanyatam Email golno1gmail.comPurpose: The objective was to compare the operative time, ultrasound time, efficacy and safety of phacoemulsification with IOL insertion between using halogen and light-emitting diode (LED) illuminated microscope.Patients and Methods: Two hundred and twenty-seven surgical charts of cataract patients who underwent phacoemulsification with IOL insertion between June 2018 and October 2020 were reviewed. There were 113 cases operated on under halogen-illuminated microscope (Carl Zeiss OPMI LUMERA S7®) and 114 cases operated on under light-emitting diode (LED)-illuminated microscope (Leica PROVEO 8®). All cases were operated on by the same surgeon (S.T.). The difference in operative time and ultrasound time between two groups was compared by independent samples t-test. The proportion of cases with 3-months BCVA that was better than 20/30 and the proportion of cases with intraoperative complications from the operation between two groups were compared by Pearson’s Chi-squared test.Results: The mean ultrasound time was 121.29± 53.60 seconds in halogen group and 123.98± 61.53 seconds in LED group. The mean difference was − 2.69± 8.44 seconds which was not statistically significant (95% CI, − 19.35 to 13.97; p=0.573). The mean operative time was 19.83± 4.77 minutes in the halogen group and 17.20± 3.02 minutes in the LED group. The mean difference was 2.63± 0.53 minutes (95% CI, 1.59 to 3.67; p < 0.001). The cases with BCVA better than 20/30 was 93.69% in halogen group and 95.49% in LED group. The proportion of cases with intraoperative complications was 3.53% in halogen group and 2.63% in LED group. The difference of both proportions was not statistically significant (p=0.553 and p=0.692, respectively).Conclusion: This study shows statistically significant operative time reduction with LED microscope. This evidence could be used for making the decision to switch from halogen microscope to LED microscope. Upgrading to LED-illuminated microscope might be beneficial for productivity improvement if there were at least six to seven cases operated on per day. The ultrasound time, efficacy, and safety showed no significant difference.Keywords: operative time, ultrasound time, light source, operative microscope |
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Retrospective Comparison of Intraoperative Parameters, Efficacy and Safety in Cataract Surgery Between Halogen and Light-Emitting Diode (LED) Illuminated Surgical Microscope |
| url |
https://doaj.org/article/2ff61cf896314eaba50146e2581484a5 https://www.dovepress.com/retrospective-comparison-of-intraoperative-parameters-efficacy-and-saf-peer-reviewed-fulltext-article-OPTH https://doaj.org/toc/1177-5483 |
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2024-07-03T17:24:01.531Z |
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