DR. NIKHIL BALAKRISHNAN

Dr. PAVITRA PATEL, DR. NITIN BALAKRISHNAN

Abstract

Purpose: To compare the efficacy of a HJP with PCP in removing LEC in phacoemulsification

Methods: This prospective non randomised study was conducted on 960 eyes, which alternatively underwent removal of LEC on the posterior capsule(PC) using either PCP(with a sandblasted ball polisher) or HJP(stream of irrigating fluid ejected from a 27G cannula attached to a 5cc syringe). Visual parameters were evaluated at 1 day, 1 week & 1 year postop. Posterior Capsular Opacification (PCO) (area %) & incidence of YAG Capsulotomy(YC) were recorded at 1 year interval

Results: PCP required 64.32±14.5 seconds &amp; HJP 29.2±8.7 seconds (P ≤ 0.001). 1 day postop, HJP group had more desirable objective scattering index, and Strehl ratio (all P < .05). 1 year postop, PCO area % did not differ between the groups (5.3% vs 3.2%,P = .310) but incidence of YC was lower in the fluid-jet group (2.9% vs 0.6%,P = .021) Conclusions: HJP removal of LEC is a more effective technique with lower incidence of YC than PCP

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