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  • Title: [Architectural analysis of clear corneal incisions using Visante OCT in acute postoperative endophthalmitis].
    Author: Belazzougui R, Monod SD, Baudouin C, Labbé A.
    Journal: J Fr Ophtalmol; 2010 Jan; 33(1):10-5. PubMed ID: 20053477.
    Abstract:
    PURPOSE: To analyze the architecture of clear corneal incisions after acute endophthalmitis following cataract surgery using anterior segment OCT (AS-OCT). PATIENTS AND METHODS: Fourteen eyes of 14 patients followed at the Quinze-Vingts National Ophthalmology Hospital for acute endophthalmitis following cataract surgery, between April and November 2008, were included in this study. All patients had a complete biomicroscopic examination and a Visante-OCT (Carl Zeiss Meditec AG) analysis of the corneal incision. The length, size (width), location, angle, architecture, and anatomic imperfections of the incisions were analyzed. RESULTS: Symptoms occurred 4+/-2.4 days after cataract surgery. The location of the incision was superior in 71.43% of cases, temporal in 21.43% and nasal in 7.14%. Incision size (width) was 3.2 mm in 42.86% of cases, 2.75 mm in 35.71%, and 3 mm in 21.43%. Two incisions were sutured (14.28%). Using AS-OCT, the mean incision length was 1.42+/-0.25 mm and the mean incision angle was 39+/-10.62 degrees . Three-step incisions were found in 35.71% of cases and endothelial gaping was found in 42.86 % of cases. CONCLUSION: A reduced incision length and inappropriate construction seemed to be determinant risk factors of endophthalmitis following cataract surgery. Other studies using a greater number of patients with an architectural analysis of clear corneal incisions are necessary to confirm these preliminary results.
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