Heat production: Longitudinal versus torsional phacoemulsification

التفاصيل البيبلوغرافية
العنوان: Heat production: Longitudinal versus torsional phacoemulsification
المؤلفون: Young Keun Han, Kevin M. Miller
المصدر: Journal of Cataract and Refractive Surgery. 35:1799-1805
بيانات النشر: Ovid Technologies (Wolters Kluwer Health), 2009.
سنة النشر: 2009
مصطلحات موضوعية: medicine.medical_specialty, Hot Temperature, Phacoemulsification, business.industry, Ultrasonic Therapy, medicine.medical_treatment, Ultrasound, Cataract surgery, Torsional phacoemulsification, Compression (physics), Models, Biological, Sensory Systems, Ophthalmology, Thermography, Heat generation, Medicine, Surgery, Thermal protection, Power setting, business, Biomedical engineering
الوصف: Purpose To compare the heat production of longitudinal versus torsional phacoemulsification under strict laboratory test conditions. Setting Department of Ophthalmology, David Geffen School of Medicine at UCLA, and Jules Stein Eye Institute, Los Angeles, California, USA. Methods Two Infiniti phacoemulsification handpieces were inserted into silicone test chambers filled with a balanced salt solution and imaged serially using a thermal camera. Incision compression was simulated by suspending 25.3 g weights from the silicone chambers. To simulate occlusion of the phacoemulsification tip, the aspiration line was clamped. Peak temperatures were measured 0, 10, 30, 60, and 120 seconds after the commencement of continuous ultrasound power. The 2 handpieces, operating exclusively in longitudinal or torsional modes, were compared 3 ways: (1) using the same power displayed on the instrument console, (2) using identical stroke lengths, and (3) using the same applied energy, a product of stroke length and frequency. Results For all 3 comparisons, torsional phacoemulsification resulted in lower temperatures at each time point. At the same displayed power setting, the scenario most familiar to cataract surgeons, longitudinal phacoemulsification elevated temperatures up to 41.5°C more than torsional phacoemulsification. Conclusions Torsional phacoemulsification generated less heat than longitudinal phacoemulsification in all 3 comparison tests. Lower operating temperatures indicate lower heat generation within the same volume of fluid, and this may provide additional thermal protection during cataract surgery.
تدمد: 0886-3350
DOI: 10.1016/j.jcrs.2009.04.046
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5c01c63a7c196c0a3612deba3091d8f3
https://doi.org/10.1016/j.jcrs.2009.04.046
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....5c01c63a7c196c0a3612deba3091d8f3
قاعدة البيانات: OpenAIRE
الوصف
تدمد:08863350
DOI:10.1016/j.jcrs.2009.04.046