Effect of intraocular lens insertion speed on surgical wound structure.
OBJECTIVE
To evaluate the difference in the effect of 2 speeds of intraocular lens (IOL) insertion on the clear corneal wound structure.


METHODS
Ouchi Eye Clinic, Kyoto, Japan.


METHODS
Prospective randomized clinical trial.


METHODS
Eyes that had phacoemulsification and Acrysof IQ IOL implantation using a screw-plunger type injector were randomly divided into 2 equally sized groups as follows: Group F, fast IOL insertion (1 revolution per second [rps]) plunger speed, and Group S, slow IOL insertion (¼ rps). The change in wound-size between before IOL insertion and after IOL insertion, need for corneal hydration, surgically induced astigmatism (SIA), and optical coherence tomography (OCT) findings of the corneal wound structure were compared. Comparative laboratory measurements of the cross-sectional surface between empty cartridges and those with an IOL loaded inside were also performed.


RESULTS
Eighty eyes were enrolled. The change in wound size was significantly larger in Group S (P=.002). Corneal hydration was required in 11 of 40 eyes in Group F and in 21 of 40 eyes in Group S (P=.04). Changes in OCT findings were also more prominent in Group S (P=.003). There were no significant differences in SIA. Laboratory examination of the cartridges showed that the vertical diameter of the cross-sectional area was significantly larger when the IOL was loaded than when the cartridge was empty.


CONCLUSIONS
When an injector system was used, slow IOL insertion affected clear corneal wound structure more than fast IOL insertion.
Ouchi Eye Clinic and the Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan. mouchi@skyblue.ocn.ne.jp
Masayuki
M
Ouchi
D000368:Aged; D001251:Astigmatism / Q000503:physiopathology; D003315:Cornea / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008866:Microsurgery; D018918:Phacoemulsification / Q000379:methods*; D011446:Prospective Studies; D013997:Time Factors; D041623:Tomography, Optical Coherence; D014945:Wound Healing / Q000502:physiology*