Evidence map›Paper›PMID 32704427›Full record

ArticleTranslational vision science & technology2020

Testing a Novel Device for Accurate Ultrasound Delivery During Crystalline Lens Phacoemulsification Surgery.

Tommaso Rossi, Stefano Saffioti, Giampiero Angelini, Giorgio Querzoli, Serena Telani, Alessandro Rossi, Guido Ripandelli

Abstract read
In one paragraph

Article in Translational vision science & technology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tommaso RossiIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Stefano SaffiotiOptikon 2000 SpA, Rome, Italy.
Giampiero AngeliniOptikon 2000 SpA, Rome, Italy.
Giorgio QuerzoliDepartment of Civil, Environmental, and Architectural Engineering, Università di Cagliari, Cagliari, Italy.
Serena TelaniIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Alessandro RossiOptikon 2000 SpA, Rome, Italy.
Guido RipandelliIRCCS Fondazione G.B. Bietti, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To assess whether the use of a patented, novel feedback device intended to accurately control phacoemulsification tip elongation is effective under varying machine settings and material resistance. Methods: Sculpt mode phaco (550-mm Hg Venturi pump; elongations, 35 and 70 µm) and quadrant settings (550-mm Hg Venturi pump; elongations, 15, 30, and 60 µm) were used in agar gel of incremental density (1%, 2%, 3%, and 6% in demineralized water). Dispersed lens fragments were also simulated with 6% agar gel spherules (2-5 mm in diameter; 550-mm Hg vacuum, and 60-µm elongation). Actual phaco tip elongation was measured on voltage readings from the piezoelectric crystals and compared to nominal elongation with feedback control off and on. Results: Mismatch between nominal and actual elongation when feedback control was off in sculpt mode varied between -13.51 µm and -23.07 µm of nominal elongation; in quadrant mode, mismatch varied between -2.79 µm and -20.41 µm. When the feedback control system was switched on, mismatch varied between -0.02 µm and +0.43 µm ( Conclusions: A novel feedback control system effectively controls elongation accuracy regardless of the resistance offered by incremental agar gel concentrations. Translational Relevance: Implementing feedback control in phaco handpieces dramatically improves surgical accuracy. The translational value of this research relies on its immediate applicability to routine cataract surgery, resulting in a more appropriate use of ultrasound energy.

Indexed as

Cataract ExtractionLens, CrystallinePhacoemulsificationUltrasonic TherapyVacuumcataract surgeryphacoemulsificationultrasound

Identifiers

PMID32704427
PMCPMC7347506

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Registered trials

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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.