Assessing corneal cell counts before and after advanced cataract surgery: a comparative analysis of horizontal PHACO CHOP AND MILOOP® techniques.
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| Title: | Assessing corneal cell counts before and after advanced cataract surgery: a comparative analysis of horizontal PHACO CHOP AND MILOOP® techniques. |
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| Alternate Title: | Conteo celular corneal pre y posquirúrgico utilizando PHACO CHOP horizontal y MILOOP® en cirugías de cataratas avanzadas. |
| Authors: | Villa-Pérez, Rodrigo1, Ruiz-Salgado, Karla2, Albores-Méndez, Exsal Manuel1, Rodríguez-Bandala, Cindy3, Cárdenas-Rodríguez, Noemí4, Díaz-Villegas, Verónica3, Tello-Ortega, Karla5, Vargas-Hernández, Marco Antonio1, Castañón-Alonso, Sandra Luz1, Ignacio-Mejía, Iván1, Quintero Fabián, Saray1 yaras_44@yahoo.com.mx |
| Source: | Revista de Sanidad Militar. abr-jun2026, Vol. 80 Issue 2, p1-11. 11p. |
| Subjects: | Phacoemulsification, Comparative studies, Visual acuity, Cataract surgery, Treatment effectiveness, Surgical complications |
| Abstract (English): | Objective: to compare changes in visual acuity and corneal endothelial cell density in patients undergoing cataract surgery using phacoemulsification with the Horizontal Phaco Chop and miLOOP® techniques. Methods: an observational, retrospective, and comparative study was conducted in 19 patients (22 eyes) treated at the Central Military Hospital. Surgical outcomes were compared between Horizontal Phaco Chop and miLOOP®. Visual acuity was assessed 24 hours and one month after the procedure, as well as cell density. Results: patients, of both sexes and aged between 52 and 82 years, showed a 48.0 % decrease in corneal endothelial cell density with Horizontal Phaco Chop and a 49.0 % decrease with miLOOP®. Visual acuity improved by 33.9 % with Horizontal Phaco Chop and by 44.5 % with miLOOP® at 24 hours, remaining similar after one month. Limitations: small sample size and short follow-up, limiting the generalization and evaluation of the real impact of both techniques. Originality: directly comparing Phaco Chop and miLOOP® provides novel evidence on visual recovery and endothelial damage. Conclusions: both techniques produced comparable reductions in corneal endothelial cell density. However, miLOOP® showed an advantage in early visual recovery (first 24 hours), which was not sustained in the long term. This suggests that miLOOP® could be a favorable alternative for achieving initial visual recovery, even [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: comparar los cambios en la agudeza visual y la densidad de células endoteliales corneales en pacientes sometidos a cirugía de cataratas mediante facoemulsificación con las técnicas Phaco Chop Horizontal y miLOOP®. Métodos: estudio observacional, retrospectivo y comparativo en 19 pacientes (22 ojos) atendidos en el Hospital Central Militar. Se comparó los resultados quirúrgicos entre Phaco Chop Horizontal y miLOOP®. Se evaluó la agudeza visual a las 24 horas y al mes posterior al procedimiento, así como la densidad celular. Resultados: los pacientes, de ambos sexos y con edades entre 52 y 82 años, mostraron una disminución del 48,0 % en la densidad celular endotelial corneal con Phaco Chop Horizontal y del 49,0 % con miLOOP®. La agudeza visual mejoró en un 33,9 % con Phaco Chop Horizontal y en un 44,5 % con miLOOP® a las 24 horas, manteniéndose similar al cabo de un mes. Limitaciones: muestra pequeña y seguimiento corto, limitando la generalización y evaluación del impacto real de ambas técnicas. Originalidad: comparar directamente Phaco Chop y miLOOP®, aporta evidencia novedosa sobre recuperación visual y daño endotelial. Conclusiones: ambas técnicas, produjeron reducciones comparables en la densidad de células endoteliales corneales. No obstante, miLOOP® mostró una mejor recuperación visual durante las primeras 24 horas, lo que podría estar relacionado con el procedimiento quirúrgico, sin embargo, esta mejoría no se sostuvo a largo plazo. Esto sugiere que miLOOP® podría ser una alternativa favorable para lograr una recuperación visual inicial, aunque ambas técnicas resultan efectivas para la cirugía de cataratas. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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