Hisaharu Suzuki1, Kotaro Oki2, Tsutomu Igarashi2, Toshihiko Shiwa2, Hiroshi Takahashi2. 1. From the Department of Ophthalmology (Igarashi, Shiwa, Takahashi), Nippon Medical School, Nippon Medical School, Musashikosugi Hospital, Kawasaki City, Kanagawa, and private clinic (Oki), Tokyo, Japan. Electronic address: s5054@nms.ac.jp. 2. From the Department of Ophthalmology (Igarashi, Shiwa, Takahashi), Nippon Medical School, Nippon Medical School, Musashikosugi Hospital, Kawasaki City, Kanagawa, and private clinic (Oki), Tokyo, Japan.
Abstract
PURPOSE: To evaluate changes in the aqueous humor temperature using 2 phacoemulsification units (Stellaris 28.5 kHz device and Whitestar Signature 40 kHz device). SETTING: Nippon Medical School, Musashikosugi Hospital, Kawasaki City, Kanagawa, Japan. DESIGN: Experimental study. METHODS: Aqueous humor temperatures were measured with a temperature probe set in the anterior chamber during ultrasound (US) oscillation in porcine eyes under 5 conditions. RESULTS: Continuous longitudinal oscillation caused a rapid rise in aqueous humor temperature, while the pulse and elliptical modes suppressed temperature elevation. Reducing the number of US tip vibrations did not reduce the temperature in the anterior chamber. However, raising the vacuum setting allowed the aspirations to rise to the set value, thereby lowering the temperature in the anterior chamber. CONCLUSION: Because differences in the phacoemulsification settings can lead to temperature elevations in the anterior chamber, surgeons must carefully monitor these settings to prevent corneal tissue damage.
PURPOSE: To evaluate changes in the aqueous humor temperature using 2 phacoemulsification units (Stellaris 28.5 kHz device and Whitestar Signature 40 kHz device). SETTING: Nippon Medical School, Musashikosugi Hospital, Kawasaki City, Kanagawa, Japan. DESIGN: Experimental study. METHODS: Aqueous humor temperatures were measured with a temperature probe set in the anterior chamber during ultrasound (US) oscillation in porcine eyes under 5 conditions. RESULTS:Continuous longitudinal oscillation caused a rapid rise in aqueous humor temperature, while the pulse and elliptical modes suppressed temperature elevation. Reducing the number of US tip vibrations did not reduce the temperature in the anterior chamber. However, raising the vacuum setting allowed the aspirations to rise to the set value, thereby lowering the temperature in the anterior chamber. CONCLUSION: Because differences in the phacoemulsification settings can lead to temperature elevations in the anterior chamber, surgeons must carefully monitor these settings to prevent corneal tissue damage.