Objectives: This study aimed to compare the mean surgical time, cumulative dissipated energy (CDE), aspiration time and estimated aspiration fluid parameters in phacoemulsification surgery using an active-fluidic pressure control system (AFPCS) in comparison with gravity-fluidic system (GFS). Methods: The study analysed 202 eyes of 202 patients diagnosed with senile nuclear cataract and admitted to our clinic. Phacoemulsification surgery was performed by an experienced surgeon using the Centurion Vision System device and the Infiniti Vision System device. After each case, the mean surgical time, CDE, aspiration time and estimated aspiration fluid parameters were recorded. Complicated cases were excluded from the study. Results: In the AFPCS group, the mean age of the patients was 64.15±3.83 years, with the following results: mean surgical time, 11.88±5.44 min; CDE, 11.63±9.37; aspiration time, 3.91±1.49 min; estimated aspiration fluid, 71.89±27.56 ml. In the GFS group, the mean age of the patients was 64.99±3.80 years, and the following results were obtained: mean surgical time, 14.35±3.93 min; CDE, 13.60±7.61; aspiration time, 5.56±1.8 min; estimated aspiration fluid, 101.23±15.62 ml. Conclusion: AFPCS was found to be more successful than GFS, with low-energy consumption, shorter surgical time and better postoperative outcomes. Keywords: Active-fluidic system, gravity-fluidic system, phacoemulsification, cataract
Corresponding Author: Asker Bulut