PMID- 28831699 OWN - NLM STAT- MEDLINE DCOM- 20180924 LR - 20181113 IS - 1573-2630 (Electronic) IS - 0165-5701 (Linking) VI - 38 IP - 5 DP - 2018 Oct TI - Comparison of cumulative dissipated energy delivered by active-fluidic pressure control phacoemulsification system versus gravity-fluidics. PG - 1907-1913 LID - 10.1007/s10792-017-0674-4 [doi] AB - PURPOSE: To compare the cumulative dissipated energy (CDE), aspiration time and estimated aspiration fluid utilized during phacoemulsification cataract surgery using two phacoemulsification systems . METHODS: A total of 164 consecutive eyes of 164 patients undergoing cataract surgery, 82 in the active-fluidics group and 82 in the gravity-fluidics group were enrolled in this study. Cataracts graded NII to NIII using LOCS II were included. Each subject was randomly assigned to one of the two platforms with a specific configuration: the active-fluidics Centurion ((R)) phacoemulsification system or the gravity-fluidics Infiniti ((R)) Vision System. CDE, aspiration time (AT) and the mean estimated aspiration fluid (EAF) were registered and compared. RESULTS: A mean age of 68.3 +/- 9.8 years was found (range 57-92 years), and no significant difference was evident between both groups. A positive correlation between the CDE values obtained by both platforms was verified (r = 0.271, R (2) = 0.073, P = 0.013). Similarly, a significant correlation was evidenced for the EAF (r = 0.334, R (2) = 0.112, P = 0.046) and AT values (r = 0.156, R (2) = 0.024, P = 0.161). A statistically significantly lower CDE count, aspiration time and estimated fluid were obtained using the active-fluidics configuration when compared to the gravity-fluidics configuration by 19.29, 12.10 and 9.29%, respectively (P = 0.001, P < 0.0001 and P = 0.001). CONCLUSIONS: The active-fluidics Centurion ((R)) phacoemulsification system achieved higher surgical efficiency than the gravity-fluidics Infiniti ((R)) IP system for NII and NIII cataracts. FAU - Gonzalez-Salinas, Roberto AU - Gonzalez-Salinas R AUID- ORCID: 0000-0001-6654-5191 AD - Research Department, Hospital Luis Sanchez Bulnes, Asociacion para Evitar la Ceguera en Mexico I.A.P., Vicente Garcia Torres 46, Barrio San Lucas, Coyoacan, 04030, Mexico City, Mexico. dr.gonzalezsalinas@gmail.com. FAU - Garza-Leon, Manuel AU - Garza-Leon M AD - Direccion de Ciencias Medicas de la Division de Ciencias de la Salud, Universidad de Monterrey, Monterrey, Nuevo Leon, Mexico. FAU - Saenz-de-Viteri, Manuel AU - Saenz-de-Viteri M AD - Department of Ophthalmology, Universidad de Navarra, Pamplona, Spain. FAU - Solis-S, Juan C AU - Solis-S JC AD - Biomedical Research Department, Universidad Autonoma de Queretaro, 76170, Queretaro, Mexico. FAU - Gulias-Canizo, Rosario AU - Gulias-Canizo R AD - Research Department, Hospital Luis Sanchez Bulnes, Asociacion para Evitar la Ceguera en Mexico I.A.P., Vicente Garcia Torres 46, Barrio San Lucas, Coyoacan, 04030, Mexico City, Mexico. AD - Centro de Investigacion y Estudios Avanzados, I.P.N. (CINVESTAV), 07360, Mexico City, Mexico. FAU - Quiroz-Mercado, Hugo AU - Quiroz-Mercado H AD - University of Colorado, Denver, CO, USA. LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20170822 PL - Netherlands TA - Int Ophthalmol JT - International ophthalmology JID - 7904294 SB - IM MH - Aged MH - Aged, 80 and over MH - Equipment Design MH - Female MH - Humans MH - Male MH - Middle Aged MH - Phacoemulsification/*instrumentation MH - Postoperative Complications/*prevention & control MH - Pressure MH - Prospective Studies MH - Time Factors MH - Visual Acuity OTO - NOTNLM OT - Active-fluidics OT - Cataract surgery OT - Cumulative dissipated energy OT - Gravity-fluidics OT - Phacoemulsification EDAT- 2017/08/24 06:00 MHDA- 2018/09/25 06:00 CRDT- 2017/08/24 06:00 PHST- 2017/05/25 00:00 [received] PHST- 2017/08/01 00:00 [accepted] PHST- 2017/08/24 06:00 [pubmed] PHST- 2018/09/25 06:00 [medline] PHST- 2017/08/24 06:00 [entrez] AID - 10.1007/s10792-017-0674-4 [pii] AID - 10.1007/s10792-017-0674-4 [doi] PST - ppublish SO - Int Ophthalmol. 2018 Oct;38(5):1907-1913. doi: 10.1007/s10792-017-0674-4. Epub 2017 Aug 22.