ArticleBMC ophthalmology2014
Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems.
Article in BMC ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 69 citations in OpenAlex.
- The effect of intraocular pressure during phacoemulsification in patients with either diabetic retinopathy or glaucoma; a randomized controlled feasibility trial.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025Trial
- Comparative Clinical Study of Surgical Performance of Quatera 700 versus Centurion and Signature Pro Phacoemulsification Systems.Clinical ophthalmology (Auckland, N.Z.) · 2024Trial
- A prospective randomized clinical trial of active-fluidics versus gravity-fluidics system in phacoemulsification for age-related cataract (AGSPC).Annals of medicine · 2022Trial
- Clinical Performance and Surgeon Acceptability of a New Dual Mode Phacoemulsification System.Clinical ophthalmology (Auckland, N.Z.) · 2022Trial
- Comparison of cumulative dissipated energy delivered by active-fluidic pressure control phacoemulsification system versus gravity-fluidics.International ophthalmology · 2018Trial
- Comparative studies between longitudinal and torsional modes in phacoemulsification, using active fluidics technology along with the intrepid balanced tip.Indian journal of ophthalmology · 2018Trial
- Occlusion break surge performance of a next-generation phacoemulsification system.Journal of cataract and refractive surgery · 2026Article
- Feasibility of Intraoperative SS-OCT for Assessing Capsular-Bag Dynamics During Cataract Surgery: Pilot Randomized Intra-Individual Comparison of Adaptive Versus Gravity-Based Fluidics.Diagnostics (Basel, Switzerland) · 2026Article
- Anterior chamber stability of a novel phacoemulsification machine through the slit side view method.Journal of cataract and refractive surgery · 2026Article
- Occlusion Break Surge and Anterior Chamber Stability in the Intraocular Environment of Modern Phacoemulsification: A Narrative Review.Medicina (Kaunas, Lithuania) · 2026Review
- Bench Evaluation of Intraocular Pressure Control with Clinical Assessment of Anterior Chamber Stability of a Dual Peristaltic Phacoemulsification Device.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Comparing Post-Occlusion Surge at Decreasing Intraocular Pressures with Pressure Sensing Handpiece.Medical devices (Auckland, N.Z.) · 2026Article
- Comparison of active sentry and ozil handpiece in cataract surgery according to the grade of nucleosclerosis and challenging conditions.International ophthalmology · 2025Article
- Effect of anterior chamber depth on corneal endothelium following phacoemulsification among patients with different axial lengths.International ophthalmology · 2025Article
- Evaluation of the Occlusion Break Surge Volume in Five Different Phacoemulsification Systems.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Comparison of Postocclusion Pressure Surge Between Pressure Sensing and Traditional Phacoemulsification Handpieces.Journal of ophthalmology · 2025Article
- Impact of Active Fluidics System on RNFL and GCL in Phacoemulsification.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Surgical Efficiency Comparison Between Two Phacoemulsification Systems.Clinical ophthalmology (Auckland, N.Z.) · 2024Article
- EVA NEXUS-Phaco performance study.International journal of ophthalmology · 2024Article
- Effect and Safety of Pressure Sensor-equipped Handpiece in Phacoemulsification System.Korean journal of ophthalmology : KJO · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOcclusion break surge during phacoemulsification cataract surgery can lead to potential surgical complications. The purpose of this study was to quantify occlusion break surge and vacuum rise time of current phacoemulsification systems used in cataract surgery.
methodsOcclusion break surge at vacuum pressures between 200 and 600 mmHg was assessed with the Infiniti® Vision System, the WhiteStar Signature® Phacoemulsification System, and the Centurion® Vision System using gravity-fed fluidics. Centurion Active FluidicsTM were also tested at multiple intraoperative pressure target settings. Vacuum rise time was evaluated for Infiniti, WhiteStar Signature, Centurion, and Stellaris® Vision Enhancement systems. Rise time to vacuum limits of 400 and 600 mmHg was assessed at flow rates of 30 and 60 cc/minute. Occlusion break surge was analyzed by 2-way analysis of variance.
resultsThe Centurion system exhibited substantially less occlusion break surge than the other systems tested. Surge area with Centurion Active Fluidics was similar to gravity fluidics at an equivalent bottle height. At all Centurion Active Fluidics intraoperative pressure target settings tested, surge was smaller than with Infiniti and WhiteStar Signature. Infiniti had the fastest vacuum rise time and Stellaris had the slowest. No system tested reached the 600-mmHg vacuum limit.
conclusionsIn this laboratory study, Centurion had the least occlusion break surge and similar vacuum rise times compared with the other systems tested. Reducing occlusion break surge may increase safety of phacoemulsification cataract surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.