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Advantages of IOL Implantation in Ringer Lactate without Viscoelastics in Phacoemulsification

Trupti S Amrute , Nidhi O Singh1 , Trupti S Amrute2 , Roopa R Naik3

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Ophthalmology and Allied Sciences 5(3):p 297-301, Sep-Dec 2019. | DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.5319.8

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Nidhi O Singh, Trupti S Amrute, Roopa R Naik. Advantages of IOL Implantation in Ringer Lactate without Viscoelastics in Phacoemulsification. Ophthalmol Allied Sci. 2019;5(3):297–301

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Abstract

Aim: To study advantages of Ringer’s Lactate Solution (RL) instead of Hydroxypropyl Methylcellulose (HPMC) for Intra-ocular Lens (IOL) implantation in phacoemulsification. Methods: A prospective, randomized, interventional study was performed.100 patients of senile cataract were randomly divided in two groups; one in whom IOL was implanted in RL (ringer group) and one in which HPMC (visco group) was used. Results were evaluated on safety, efficacy, post-operative Intra-ocular pressure (IOP), reaction, endothelial cell count and surgical time. Result: Mean post-operative IOP at 6, 24 and 48 hours in ringer group was 16.02, 13.46 and 12.44 mm Hg respectively; and in visco group it was 22.24, 17.32 and 13.84 mm Hg respectively (p value < 0.0001; significant difference). Mean postoperative reaction at 24 and 48 hours in ringer group was 1.48 and 0.72 respectively; and in visco group it was 1.56 and 1.08 respectively (p < 0.0001). Mean endothelial cell loss in visco group was 143.56 and in ringer group it was 210.68 (p = 0.055). Mean surgical time in visco group was 6.01 ± 0.93 mins and in ringer group it was 5.08 ± 0.76 mins (p < 0.0001). Conclusion: IOL implantation in bag under RL is safe, less time consuming, without significant extra loss of endothelial cells, controls spikes of IOP with less post-operative reaction.

Keywords: Ringer Lactate; Viscoelastics; Phacoemulsification; Intra-Ocular Pressure; Anterior Chamber Reaction; Endothelial Cell Count, Ringer's Lactate solution.

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Nidhi O Singh, Trupti S Amrute, Roopa R Naik. Advantages of IOL Implantation in Ringer Lactate without Viscoelastics in Phacoemulsification. Ophthalmol Allied Sci. 2019;5(3):297–301

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DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.5319.8

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