Post-occlusion surge parameters during <i>ex vivo</i> phacoemulsification with a new method of adaptive infusion control

A new method of adaptive control of infusion during phacoemulsification (PE) based on the Optimed Profi (Optimedservice) surgical system was developed, allowing calculation of the predicted volume of post-occlusion surge (POS) by monitoring aspiration and infusion flow rates. Purpose. To compare POS...

Full description

Saved in:
Bibliographic Details
Main Authors: B. M. Aznabaev, T. R. Mukhamadeev, T. I. Dibaev, T. N. Ismagilov
Format: Article
Language:Russian
Published: Real Time Ltd 2024-10-01
Series:Российский офтальмологический журнал
Subjects:
Online Access:https://roj.igb.ru/jour/article/view/1553
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850047592298184704
author B. M. Aznabaev
T. R. Mukhamadeev
T. I. Dibaev
T. N. Ismagilov
author_facet B. M. Aznabaev
T. R. Mukhamadeev
T. I. Dibaev
T. N. Ismagilov
author_sort B. M. Aznabaev
collection DOAJ
description A new method of adaptive control of infusion during phacoemulsification (PE) based on the Optimed Profi (Optimedservice) surgical system was developed, allowing calculation of the predicted volume of post-occlusion surge (POS) by monitoring aspiration and infusion flow rates. Purpose. To compare POS amplitude, predicted and actual volumes of POS during experimental ex vivo PE on cadaveric porcine eyes, between Optimed Profi and Centurion Vision surgical systems. Material and methods. For two experimental PE series of 10 operations on porcine eyes, the mean POS amplitude (mm Hg) was measured using a pressure sensor in the anterior eye chamber. Predicted and actual POS volumes were assessed using a non-contact aspiration-line flowmeter sensor by varying aspiration flow rate depending on the phaco needle patency. The parameters were compared between the series using the Student t-test. Results. The mean POS amplitude during PE by Optimed Profi and Centurion Vision System was 12.10 ± 0.21 and 13.3 ± 0.3 mm Hg, respectively (p &lt; 0.001). The mean value of the predicted POS volume during PE by Optimed Profi and Centurion Centurion Vision System was 136.80 ± 9.59 and 146.00 ± 9.46 μm, respectively (p &gt; 0.01). The mean value of the actual POS volume during PE by Optimed Profi and Centurion Vision System was 135.30 ± 4.97 and 158.50 ± 8.63 μm, respectively (p &lt; 0.01). Conclusion. The lower values of POS amplitude and predicted and actual volumes of POS in the series using the new method of adaptive infusion control may indicate a better hydrodynamic stability in experimental PE.
format Article
id doaj-art-b96208318da5420a91f3fcc982bfea43
institution DOAJ
issn 2072-0076
2587-5760
language Russian
publishDate 2024-10-01
publisher Real Time Ltd
record_format Article
series Российский офтальмологический журнал
spelling doaj-art-b96208318da5420a91f3fcc982bfea432025-08-20T02:54:11ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602024-10-01173798410.21516/2072-0076-2024-17-3-79-84716Post-occlusion surge parameters during <i>ex vivo</i> phacoemulsification with a new method of adaptive infusion controlB. M. Aznabaev0T. R. Mukhamadeev1T. I. Dibaev2T. N. Ismagilov3Bashkir State Medical University; Optimedservis LtdBashkir State Medical University; Optimedservis LtdBashkir State Medical University; Optimedservis LtdBashkir State Medical University; Optimedservis LtdA new method of adaptive control of infusion during phacoemulsification (PE) based on the Optimed Profi (Optimedservice) surgical system was developed, allowing calculation of the predicted volume of post-occlusion surge (POS) by monitoring aspiration and infusion flow rates. Purpose. To compare POS amplitude, predicted and actual volumes of POS during experimental ex vivo PE on cadaveric porcine eyes, between Optimed Profi and Centurion Vision surgical systems. Material and methods. For two experimental PE series of 10 operations on porcine eyes, the mean POS amplitude (mm Hg) was measured using a pressure sensor in the anterior eye chamber. Predicted and actual POS volumes were assessed using a non-contact aspiration-line flowmeter sensor by varying aspiration flow rate depending on the phaco needle patency. The parameters were compared between the series using the Student t-test. Results. The mean POS amplitude during PE by Optimed Profi and Centurion Vision System was 12.10 ± 0.21 and 13.3 ± 0.3 mm Hg, respectively (p &lt; 0.001). The mean value of the predicted POS volume during PE by Optimed Profi and Centurion Centurion Vision System was 136.80 ± 9.59 and 146.00 ± 9.46 μm, respectively (p &gt; 0.01). The mean value of the actual POS volume during PE by Optimed Profi and Centurion Vision System was 135.30 ± 4.97 and 158.50 ± 8.63 μm, respectively (p &lt; 0.01). Conclusion. The lower values of POS amplitude and predicted and actual volumes of POS in the series using the new method of adaptive infusion control may indicate a better hydrodynamic stability in experimental PE.https://roj.igb.ru/jour/article/view/1553post-occlusion surgephacoemulsificationadaptive infusion controlflow rate
spellingShingle B. M. Aznabaev
T. R. Mukhamadeev
T. I. Dibaev
T. N. Ismagilov
Post-occlusion surge parameters during <i>ex vivo</i> phacoemulsification with a new method of adaptive infusion control
Российский офтальмологический журнал
post-occlusion surge
phacoemulsification
adaptive infusion control
flow rate
title Post-occlusion surge parameters during <i>ex vivo</i> phacoemulsification with a new method of adaptive infusion control
title_full Post-occlusion surge parameters during <i>ex vivo</i> phacoemulsification with a new method of adaptive infusion control
title_fullStr Post-occlusion surge parameters during <i>ex vivo</i> phacoemulsification with a new method of adaptive infusion control
title_full_unstemmed Post-occlusion surge parameters during <i>ex vivo</i> phacoemulsification with a new method of adaptive infusion control
title_short Post-occlusion surge parameters during <i>ex vivo</i> phacoemulsification with a new method of adaptive infusion control
title_sort post occlusion surge parameters during i ex vivo i phacoemulsification with a new method of adaptive infusion control
topic post-occlusion surge
phacoemulsification
adaptive infusion control
flow rate
url https://roj.igb.ru/jour/article/view/1553
work_keys_str_mv AT bmaznabaev postocclusionsurgeparametersduringiexvivoiphacoemulsificationwithanewmethodofadaptiveinfusioncontrol
AT trmukhamadeev postocclusionsurgeparametersduringiexvivoiphacoemulsificationwithanewmethodofadaptiveinfusioncontrol
AT tidibaev postocclusionsurgeparametersduringiexvivoiphacoemulsificationwithanewmethodofadaptiveinfusioncontrol
AT tnismagilov postocclusionsurgeparametersduringiexvivoiphacoemulsificationwithanewmethodofadaptiveinfusioncontrol