Document Detail


Porcine model to compare real-time intraocular pressure during LASIK with a mechanical microkeratome and femtosecond laser.
MedLine Citation:
PMID:  17197518     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare real-time intraocular pressure (IOP) during laser in situ keratomileusis (LASIK) in porcine eyes using two types of microkeratomes. METHODS: An interventional, prospective study of two microkeratomes: a Moria 2 (Moria group) and an IntraLase femtosecond laser (IntraLase Corp., Irvine, CA; IntraLase group). These devices were used to create lamellar corneal flaps in freshly enucleated porcine eyes. The IOP changes induced by the procedures were recorded with a reusable blood pressure transducer connected to the anterior chamber by direct cannulation. RESULTS: Seven porcine eyes were studied in each group. The IOP increased during the suctioning phase, reaching a mean of 122.52 +/- 30.40 and 160.52 +/- 22.73 mm Hg during the cutting phase in the Moria group (the total time in this group was 36.42 +/- 7.48 seconds; suctioning required 21.42 +/- 7.48 seconds and the cutting phase, 15 +/- 2.88 seconds). In the IntraLase group, the IOP reached 89.24 +/- 24.26 mm Hg during the suctioning phase and 119.33 +/- 15.88 mm Hg during the intrastromal laser application (the total time was 92.85 +/- 13.49 seconds; suctioning required 40.00 +/- 9.57 seconds and the cutting phase 52.85 +/- 5.66 seconds). Both IOPs during both phases differed significantly between the two groups (P = 0.01 for all comparisons). CONCLUSIONS: Real-time IOP can be measured during LASIK using a transducer connected to the anterior chamber. The results showed a significant increase in IOP during the procedure in both groups, although with the IntraLase the IOP seemed to increase to a lesser extent than with the conventional mechanical microkeratome.
Authors:
José L Hernández-Verdejo; Miguel A Teus; José M Román; Gema Bolívar
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Investigative ophthalmology & visual science     Volume:  48     ISSN:  0146-0404     ISO Abbreviation:  Invest. Ophthalmol. Vis. Sci.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-01     Completed Date:  2007-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7703701     Medline TA:  Invest Ophthalmol Vis Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  68-72     Citation Subset:  IM    
Affiliation:
Vissum Hospital Oftalmológico, Madrid, Spain.
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MeSH Terms
Descriptor/Qualifier:
Animals
Computer Systems
Corneal Stroma / surgery
Intraocular Pressure / physiology*
Keratomileusis, Laser In Situ*
Lasers
Models, Animal
Prospective Studies
Suction / instrumentation
Surgical Flaps
Swine
Tonometry, Ocular / instrumentation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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