Journal of the Korean Ophthalmological Society 2004;45(10):1645-1651.
Published online October 1, 2004.
The Comparison of Corneal Sensitivity after Temporal and Superior Clear Corneal Incisions in Cataract Surgery.
Chan Young Lim, Sun Woong Kim, Kyoung Yul Seo
1Department of Ophthalmology, College of Medicine, Konkuk University, Seoul, Korea.
2The Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea. seoky@yumc.yonsei.ac.kr
백내장수술 시 이측과 상측 투명각막절개후의 각막지각 비교
임찬영 ( Chan Young Lim ) , 김선웅 ( Sun Woong Kim ) , 서경률 ( Kyoung Yul Seo )
Abstract
PURPOSE
To compare the change in corneal sensitivity after temporal and superior clear corneal incisions in cataract surgery. METHODS: We measured and compared the change in corneal sensitivity in senile cataract patients who had received phacoemulsification using temporal clear corneal incision (group 1) and superior clear corneal incision (group 2). The changes were measured at 1 week, 1 month, and 3 months after surgery using Cochet-Bonnet esthesiometer. RESULTS: There were 25 eyes (20 patients) in group 1 and 25 eyes (23 patients) in group 2. The mean age for each group was 67.2 +/- 8.6 years and 63.0 +/- 6.6 years, respectively. At 1 week after surgery, the sensitivity at the corneal center had a tendency to be decreased in both groups (Group 1: P=0.057, Group 2: P=0.043). No significant changes were observed during the subsequent follow-up period. There were significant decreases in the sensitivity at the incision site in both groups. At 3 months after surgery, the corneal sensitivity was nearly recovered to preoperative values. The postoperative change in corneal sensitivity showed similar patterns in both groups, and group 1 showed a larger decrease. CONCLUSIONS: Postoperative change in corneal sensitivity occurs mainly around the incision site and is recovered to preoperative values within 3 months after surgery.
Key Words: Cataract extraction;Clear corneal incision;Cornea sensitivity


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