Assessing clinical efficacy of new method for adaptive infusion control in phacoemulsification

Aznabaev BM1,2, Mukhamadeev TR1,2, Ismagilov TN1,2, Dibaev TI1,2
About authors

1 Bashkir State Medical University, Ufa, Russia

2 ZAO "Optimedservis", Ufa, Russia

Correspondence should be addressed: Timur N. Ismagilov
Lenina, 3, Ufa, 450008, Russia; ur.kb@rumit-voligamsi

About paper

Author contribution: Aznabaev BM — developing the concept, approving final version of the article; Mukhamadeev TR — developing the concept, manuscript editing; Ismagilov TN — research procedure, manuscript writing and editing; Dibaev TI — manuscript writing and editing.

Compliance with ethical standards: the study was approved by the Ethics Committee of the Bashkir State Medical University (protocol № 10 dated 15 December 2021). All patients submitted the informed consent to surgical treatment and personal data processing.

Received: 2024-01-19 Accepted: 2024-02-10 Published online: 2024-02-28
  1. Avetisov SJe, Jusef JuN, Jusef SN, Avetisov KS, Ivanov MN, Fokina ND, i dr. Sovremennye vozmozhnosti hirurgii starcheskoj katarakty. Klinicheskaja gerontologija. 2017; (11–12): 84–96. Russian.
  2. Kulikov AN, Churashov SV, Danilenko EV, Shamrej DV. Sravnitel'naja ocenka variantov hirurgicheskogo lechenija katarakty, oslozhnennoj slabost'ju svjazochnogo apparata hrustalika. Oftal'mologija. 2020; 17 (3): 577–84. Russian.
  3. Bourne R, Steinmetz J, Saylan M, Mersha A, Weldemariam A, Wondmeneh T, et al. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: The Right to Sight: An analysis for the Global Burden of Disease Study. Lancet Glob. Heal. 2021; 9 (2): e144–e160.
  4. Shuhaev SV, Bojko JeV. Sravnenie plotnosti jendotelial'nyh kletok rogovicy posle fakojemul'sifikacii plotnoj katarakty s ispol'zovaniem kombinirovannogo ul'trazvuka i torsionnogo ul'trazvuka s Intelligent Phaco. Oftal'mologija. 2018; 2 (15): 145– 52. Russian.
  5. Loskutov IA, Fedorova AI. Fakojemul'sifikacija s implantaciej IOL pri kriticheskom urovne jendotelial'nyh kletok rogovicy. Oftal'mologicheskie vedomosti. 2023; 3 (16): 63–69. Russian.
  6. Anwar N, Qasim MS. Effect of phacoemulsification surgery on central Macular thickness. Ann Med Health Sci Res. 2021; 11: 1536–9.
  7. Bissen-Miyajima H, Weikert MP, Koch DD. Cataract surgery: Maximizing outcomes through research. Cataract Surgery: Maximizing Outcomes Through Research. Springer, 2014; 211 p.
  8. Benjamin L. Fluidics and rheology in phaco surgery: What matters and what is the hype? Eye. Nature Publishing Group. 2018; 32 (2): 204–9.
  9. Agarwal A, Agarwal A, Agarwal S. Air pump to prevent Surge. In: Agarwal S. Advances in Ophthalmology. Jaypee Brothers Medical Publishers, 2002; 3000 p. DOI: 10.5005/jp/books/10033_13.
  10. Pérez-Arteaga A. Anterior vented gas forced infusion system of the Accurus surgical system in phakonit. Journal of cataract and refractive surgery. 2004; 30 (4): 933–35.
  11. Jensen D, Jensen B, Boulter B, Nathan G, Lambert B, Zaugg B, et al. Intraocular pressure study using monitored forced-infusion system phacoemulsification technology. J Cataract Refract Surg. 2016; 42 (5): 768–71.
  12. Hopkins MA, inventor., Novartis AG inc. Aspiration control via flow or impedance: United States patent 8246580 B2. 2012; p. 1–5.
  13. Hajishah A, inventor, Abbott Medical Optics inc. Advanced occlusion management methods for a phaco system: United States patent US 2019/0099526 A1. 2019; (1): 1–24.
  14. Mehta D, inventor, Johnson & Johnson Surgical Vision inc. System, apparatus and method for monitoring anterior chamber intraoperative intraocular pressure: United States patent US 11071816. 2021; p. 6.
  15. Gordon R, inventor, Alcon Research Ltd. Pressure control in phakoemulsification: United States patent US 9119701 B2. 2015; p. 13.
  16. Peterson J, Cooper С, Ungricht E. Measurement of phacoemulsification vacuum pressure in the Oertli CataRhex3. Clinical Ophthalmology. 2022; 16 (April): 1731–7.
  17. Miller KM, Dyk D, Yalamanchili S. Experimental study of occlusion break surge volume in 3 different phacoemulsification systems. Journal of cataract and refractive surgery. 2021; 47 (11): 1466–72.
  18. Kim YJ, Park SH, Choi KS. Fluctuation of infusion pressure during microincision vitrectomy using the constellation vision system. Retina. 2015; 35 (12): 2529–36.
  19. Thorne A, Dyk A, Fanney D, Miller D, Kevin M. Phacoemulsifier occlusion break surge volume reduction. J Cataract Refract Surg. United States. 2018; 44 (12): 1491–6.
  20. Zhou J, Han D. Post-occlusion surge and anterior chamber stability in a new phacoemulsification machine with small-bore, dual-durometer aspiration tubing. Invest Ophthalmol Vis Sci. 2021; 62: 574.
  21. Aznabaev BM, Muhamadeev TR, Dibaev TI, Ismagilov TN, avtory; ZAO «Optimedservis», patentoobladatel'. Sposob adaptivnogo upravlenija infuziej vo vremja fakojemul'sifikacii. Patent RF # 2788289 S1. 17.01.2023. Russian.
  22. Ismagilov TN, Aznabaev BM, Muhamadeev TR, Dibaev TI. Kolichestvennaja ocenka postokkljuzionnoj volny pri fakojemul'sifikacii s novym sposobom adaptivnogo upravlenija infuziej. Sovremennye problemy nauki i obrazovanija. 2023; 2: 73. Russian.
  23. Buratto L. Phacoemulsification/ SLACK. 1998; 544 pp.
  24. Rossi T, Querzoli G, Gelso A, Angelini G, Rossi A, Corazza P. Ocular perfusion pressure control during pars plana vitrectomy: testing a novel device. Graefe’s Arch Clin Exp Ophthalmol. 2017; 255 (12): 2325–30.
  25. Zhao Z, Yu X, Yang X, Zhang J, Zhang D, Sun N. Elevated intraocular pressure causes cellular and molecular retinal injuries, advocating a more moderate intraocular pressure setting during phacoemulsification surgery. Int Ophthalmol Springer Netherlands. 2020; 40 (12): 3323–36.
  26. Malik PK, Dewan T, Patidar A, Kr Sain E. Effect of IOP based infusion system with and without balanced phaco tip on cumulative dissipated energy and estimated fluid usage in comparison to gravity fed infusion in torsional phacoemulsification. Eye Vis. London. 2017; 4: 22.
  27. Boukhny M, Mackool RJ, Lindstrom RL. Cataract & Refractive surgery today. The Centurion Vision System: the next step in cataract surgery. 2014; pp. 1–8.
  28. Maljugin BJe. Mediko-tehnologicheskaja sistema hirurgicheskoj reabilitacii pacientov s kataraktoj na osnove ul'trazvukovoj fakojemul'sifikacii s implantaciej intraokuljarnoj linzy [dissertacija]. M., 2002. Russian.
  29. Chaudhry P, Prakash G, Jacob S. Safety and efficacy of gasforced infusion (air pump) in coaxial phacoemulsification. Journal of Cataract and Refractive Surgery. 2010; 36 (12): 2139–45.
  30. Sorrentino FS, Matteini S, Imburgia A.Torsional phacoemulsification: a pilot study to revise the “harm scale” evaluating the endothelial damage and the visual acuity after cataract surgery. PloS One. 2017; 12 (10): e0186975.
  31. Nayak BK, Shukla RO. Effect on corneal endothelial cell loss during phacoemulsification: fortified balanced salt solution versus Ringer lactate. Journal of cataract and refractive surgery. 2012; 38 (9): 1552–8.
  32. Luo Y, Li H, Chen W. Active-fluidics versus gravity-fluidics system in phacoemulsification for age-related cataract (AGSPC): study protocol for a prospective, randomised, double-blind, controlled clinical trial. BMJ open. 2022; 12 (1): e059062.
  33. Kim M, Kim S, Kwon H, Koh H, Lee S. Association between choroidal thickness and ocular perfusion pressure in young, healthy subjects: Enhanced depth imaging optical coherence tomography study. Investig Ophthalmol Vis Sci. 2012; 53 (12): 7710–7.
  34. Križanović A, Bjeloš M, Bušić M, Elabjer, Kuzmanović B, Rak B. Macular perfusion analysed by optical coherence tomography angiography after uncomplicated phacoemulsification: benefits beyond restoring vision. BMC Ophthalmol. 2021; 21 (1): 1–11.
  35. Dibaev TI, Ramazanov VN, Rahimov AF. Ocenka rezhushhej sposobnosti otechestvennogo ul'trazvukovogo instrumenta dlja fakojemul'sifikacii, osnovannogo na neprodol'nyh kolebanijah. Sovremennye tehnologii v oftal'mologii. 2015; 3: 61–63. Russian.
  36. Aznabaev BM, Muhamadeev TR, Dibaev TI. Klinicheskie rezul'taty ul'trazvukovoj fakojemul'sifikacii na osnove trehmernyh kolebanij. Sovremennye tehnologii v oftal'mologii. 2015; 4: 11–14. Russian.