["No-stitch" cataract surgery as a routine procedure. Technique and experiences].
We present a modified self-sealing wound construction with a trapezoidal incision for No-Stitch-Technique. Due to the form of the incision and the elasticity of the sclera the 6 mm incision can be extended to about 8 mm which allows an implantation of conventional PMMA-IOL without excessive scleral stretching. Since the beginning of 1991 this technique has been used routinely in our clinic with over 1500 operations. The No-Stitch-Technique has, in comparison to the sutured corneo scleral incision, two main advantages: the wound closure has a five fold higher stability and an induced astigmatism of less than 1.0 dpt. Other postoperative complications, such as wound dehiscence, iris prolapse and hypotony syndrome, were significantly eliminated.
Pham
D T
DT
Univ.-Augenklinik im Klinikum Rudolf Virchow, Freie Universität, Berlin.
Wollensak
J
J
D001251:Astigmatism / Q000209:etiology; D002387:Cataract Extraction / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular; D008768:Methylmethacrylates; D011183:Postoperative Complications / Q000209:etiology; D013536:Suture Techniques
D008768:Methylmethacrylates
"No-Stitch"-Kataraktchirurgie als Routineverfahren. Technik und Erfahrung.