title: Modified scleral flap incision to reduce corneal astigmatism after intraocular lens implantation.
abstract: OBJECTIVE
  To investigate a simple method during extracapsular cataract extraction with posterior chamber intraocular lens implantation in order to reduce surgically induced corneal astigmatism.
  
  
  METHODS
  A modified scleral flap incision was used in the extracapsular cataract extraction with intraocular lens implantation and the postoperative changes in corneal astigmatism was observed.
  
  
  RESULTS
  The peak value of postoperative corneal astigmatism was 3.60 D, and the corneal astigmatism regression was 2.11 D, surgically induced astigmatism was less significant in modified scleral flap incision group than that in conventional limbal incision group (P < 0.05).
  
  
  CONCLUSIONS
  The modified scleral flap incision is an ideal incision for cataract extraction with intraocular lens implantation when phacoemulsifier is not available.
authors: Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou, China.
authors: Y
authors: Y
authors: Liu
authors: S
authors: S
authors: Li
mesh_terms: D000368:Aged; D001251:Astigmatism / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000601:surgery*