A prospective, randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgery

Objective: To compare the effects of Amvisc Plus (AP), Duovisc (DV), and Viscoat (VC)on the corneal endothelium of patients who have undergone uncomplicated phacoemulsification cataract surgery. Methods: This is a prospective, randomized trial that involved 60 eyes of 48 patients with age-related...

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Main Authors: Harvey S. Uy, MD, Kristine E. Bacsal, MD, John D.G. Flores, MD, Robert Edward Ang, MD, Pik Sha Chan, MD
Format: Article
Language:English
Published: Philippine Academy of Ophthalmology 2004-03-01
Series:Philippine Journal of Ophthalmology
Online Access:https://paojournal.com/index.php/pjo/article/view/474
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author Harvey S. Uy, MD
Kristine E. Bacsal, MD
John D.G. Flores, MD
Robert Edward Ang, MD
Pik Sha Chan, MD
author_facet Harvey S. Uy, MD
Kristine E. Bacsal, MD
John D.G. Flores, MD
Robert Edward Ang, MD
Pik Sha Chan, MD
author_sort Harvey S. Uy, MD
collection DOAJ
description Objective: To compare the effects of Amvisc Plus (AP), Duovisc (DV), and Viscoat (VC)on the corneal endothelium of patients who have undergone uncomplicated phacoemulsification cataract surgery. Methods: This is a prospective, randomized trial that involved 60 eyes of 48 patients with age-related cataracts. The eyes were randomly assigned to receive AP, DV, or VC during phacoemulsification. The main outcome measures were post-operative intraocular pressure (IOP), endothelial cell counts, and corneal thickness. Results: The mean postoperative IOP were 15.13 ± 2.99 mmHg in the AP group, 15.42 ± 2.35 mmHg in the DV group, and 14.86 ± 5.56 mmHg in the VC group. The average postoperative endothelial cell counts were 2531 ± 420 cells/mm2 in the AP group, 2330 ± 674 cells/mm2 in the DV group, and 2678 ± 471 cells/mm2 in the VC group. The mean postoperative corneal thickness measurements were 566 ± 49 m for the AP group, 561 ± 21 m for the DV group, and 552 ± 27 m for the VC group. No significant differences in all parameters were noted among the three groups. Conclusion: The results of this study suggest that AP, DV, and VC may be comparable in terms of their ability to protect the corneal endothelium during phacoemulsification.
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spelling doaj-art-e0879e85adbe45fa8ad1b8868b006bd92025-08-20T02:10:28ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592004-03-012911216474A prospective, randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgeryHarvey S. Uy, MD0Kristine E. Bacsal, MD1John D.G. Flores, MD2Robert Edward Ang, MD3Pik Sha Chan, MD4Department of Ophthalmology and Visual Sciences University of the Philippines Philippine General Hospital Manila; Asian Eye Institute Makati CityDepartment of Ophthalmology and Visual Sciences University of the Philippines Philippine General Hospital ManilaDepartment of Ophthalmology and Visual Sciences University of the Philippines Philippine General Hospital ManilaAsian Eye Institute Makati CityAsian Eye Institute Makati CityObjective: To compare the effects of Amvisc Plus (AP), Duovisc (DV), and Viscoat (VC)on the corneal endothelium of patients who have undergone uncomplicated phacoemulsification cataract surgery. Methods: This is a prospective, randomized trial that involved 60 eyes of 48 patients with age-related cataracts. The eyes were randomly assigned to receive AP, DV, or VC during phacoemulsification. The main outcome measures were post-operative intraocular pressure (IOP), endothelial cell counts, and corneal thickness. Results: The mean postoperative IOP were 15.13 ± 2.99 mmHg in the AP group, 15.42 ± 2.35 mmHg in the DV group, and 14.86 ± 5.56 mmHg in the VC group. The average postoperative endothelial cell counts were 2531 ± 420 cells/mm2 in the AP group, 2330 ± 674 cells/mm2 in the DV group, and 2678 ± 471 cells/mm2 in the VC group. The mean postoperative corneal thickness measurements were 566 ± 49 m for the AP group, 561 ± 21 m for the DV group, and 552 ± 27 m for the VC group. No significant differences in all parameters were noted among the three groups. Conclusion: The results of this study suggest that AP, DV, and VC may be comparable in terms of their ability to protect the corneal endothelium during phacoemulsification.https://paojournal.com/index.php/pjo/article/view/474
spellingShingle Harvey S. Uy, MD
Kristine E. Bacsal, MD
John D.G. Flores, MD
Robert Edward Ang, MD
Pik Sha Chan, MD
A prospective, randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgery
Philippine Journal of Ophthalmology
title A prospective, randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgery
title_full A prospective, randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgery
title_fullStr A prospective, randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgery
title_full_unstemmed A prospective, randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgery
title_short A prospective, randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgery
title_sort prospective randomized clinical trial comparing the effects of three viscoelastics on the corneal endothelium after cataract surgery
url https://paojournal.com/index.php/pjo/article/view/474
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