AI Article Synopsis

  • - The study aimed to assess the efficiency of venturi versus peristaltic pump phacoemulsification systems in patients undergoing laser cataract surgery at Mercy Health System in Springfield, MO.
  • - Key metrics analyzed included energy use, ultrasound time, and total phaco tip time during surgery, with findings showing the venturi system required less energy and time compared to the peristaltic system.
  • - The results indicated that the venturi system was more efficient overall with no significant differences in complications between the two systems, based on data from 995 eyes.

Article Abstract

Objective: To compare the efficiency of venturi and peristaltic pump phacoemulsification systems in patients undergoing routine laser cataract surgery.

Design: Single center, nonrandomized clinical study.

Participants: The study compared consecutive eyes with moderate nuclear sclerosis undergoing routine laser cataract surgery at the Outpatient Eye Center, Mercy Health System, Springfield, MO, USA.

Methods: Each surgery used the same femtosecond laser settings. Surgeries were performed with either a venturi or peristaltic vacuum system by a single surgeon (WJS). The EFX, percent power, ultrasound time (UST), the total time that the phaco tip was in the eye (phaco tip in/out time, PIOT), and the surgery time (speculum in/out time) were recorded. Exclusions and intraoperative complications were also analyzed.

Results: 995 eyes were included in the study. The EFX in the venturi eyes (1.7 ± 1.3; n = 521) compared to peristaltic eyes (2.1 ± 1.4; n = 474) was lower (p < 0.0001). Similarly, the UST in the eyes performed with the venturi system versus the peristaltic system was reduced (32.4 ± 22.3 s vs 40.7± 25.7 s; p < 0.0001). The PIOT in the venturi group compared to the peristaltic group was less (71.1 ± 31.1 sec vs 79.1 ± 36.1 s; p = 0.0002). The case time (speculum in/out time) was lower for the venturi eyes (307.2 ± 68.8 s vs. 311.6 ± 53.6 s; p = 0.268).

Conclusion: In eyes undergoing routine laser cataract surgery, the use of the venturi pump system was more efficient compared to the peristaltic pump system based on energy use and time, and there was no significant difference in complications.

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Source
http://dx.doi.org/10.1016/j.jcjo.2024.07.012DOI Listing

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