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J. K. Hu, A. Chomsky, S. Arekapudi, J. Lindsey, L. Wayman; BSS versus BSS Plus and Differences in Clinical Outcome in Cases of Uncomplicated Phacoemulsification. Invest. Ophthalmol. Vis. Sci. 2007;48(13):1064.
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© ARVO (1962-2015); The Authors (2016-present)
To compare outcomes of uncomplicated phacoemulsification when using BSS versus BSS plus as the irrigating solution.
Restrospective, comparative, nonrandomized case series.
The medical records of 62 patients from 09/2005 - 11/2005 who had undergone uncomplicated phacoemulsification were compared with 44 patients in the same time span for the following year (09/2006 - 11/2006) who also had undergone phacoemulsification without complication. The 2005 group all had BSS used as their irrigating solution while those in 2006 all had BSS plus used.
The BSS group (2005) as a whole had on average a shorter operating time (35.9 v. 47.9 min.), but overall was an older group (72 v. 66 yrs). There was no significant difference between the two groups when comparing rate and resolution of corneal edema on postoperative days 1, 7, and 28. There was also no significant difference between the two groups when postoperative day 1 visual acuity was compared to days 7 and 28.
Though BSS plus has been shown to minimize endothelial pleomorphism through in vivo studies, this does not appear to correlate clinically with improved outcome.
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