Astigmatic shift following sutureless, triplanar, curvilinear, single hinge, clear corneal incision for phacoemulsification and intraocular lens implantation.
OBJECTIVE
Questions remain regarding wound stability, in particular astigmatism and leakage, in large, sutureless, clear corneal incisions. A polymethylmethacrylate (PMMA) implant, which may be more desirable than a silicone foldable in a very young patient, can be implanted through this incision.


METHODS
Twenty eyes of 19 patients underwent a 5.2-mm, temporal approach, clear corneal, sutureless phacoemulsification with intraocular lens implantation. The Langerman single hinge technique with a curvilinear groove and a triplanar, sutureless incision was used in all cases.


RESULTS
The average axis-corrected induced cylinder was 1.05 D of with-the-rule change. Stromal hydration was not done and only one eye required a single suture.


CONCLUSIONS
A 5.2-mm, clear corneal incision was self-sealing, with an acceptable induced with-the-rule astigmatism.
Department of Ophthalmology, Kansas University Medical Center, Kansas City, USA.
H
H
Sajjadi
M
M
Parvin
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001251:Astigmatism / Q000209:etiology*; D003315:Cornea / Q000601:surgery*; D005260:Female; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D008768:Methylmethacrylates; D008875:Middle Aged; D018918:Phacoemulsification; D013524:Surgical Flaps / Q000009:adverse effects*; D013536:Suture Techniques; D014792:Visual Acuity
D008768:Methylmethacrylates