[ECCE with self-sealing cataract incision. Technique and clinical results].
We present of modified technique for sutureless ECCE with a trapezoidal tunnel incision of 11 mm. The operation can be performed in a closed system because of the self-sealing wound construction. Compared to the sutured corneoscleral ECCE the new procedure has important advantages: the procedure is safe even during the critical phase following nucleus extraction. The procedure is therefore safer, faster, more economical and suture-induced astigmatism is avoided. Clinical experience after 2 years showed that postoperative complications were reduced significantly. Iris prolapse, wound dehiscens and hyphema occurred at a rate of 2%. The astigmatism (Jaffe analysis) was at a rate of 2 D, stable within 4 weeks after surgery, and did not change up to 2 years postoperatively. The astigmatism induced was then reduced about 0.5 D by a radical suture.
Pham
D T
DT
Augenklinik, Klinikum Rudolf Virchow, Freien Universität Berlin.
Wollensak
J
J
Drosch
S
S
D000368:Aged; D000369:Aged, 80 and over; D001251:Astigmatism / Q000209:etiology; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D013536:Suture Techniques
ECCE mit selbstschliessendem Starschnitt. Technik und klinische Ergebnisse.