Manual sutureless cataract surgery with foldable intraocular lens using the Kongsap technique: the results of 95 cases.
OBJECTIVE
To evaluate the visual outcome and complications of the small incision cataract surgery with foldable intraocular lens implantation using the Kongsap technique.


METHODS
Prospective, non-comparative study.


METHODS
This prospective study was conducted at Prapokklao Hospital, Chanthaburi between December 2005 and May 2006. The ninety-five eyes of 95 patients underwent cataract surgery using the Kongsap technique. The best-corrected visual acuity, intra-operative and post operative complications, and the corneal endothelial cell loss were then evaluated. Follow-up visits were scheduled at one week, one month, three months, and six months.


RESULTS
Best corrected visual acuity (BCVA) was 20/40 or better in 83 eyes (87.37%) at one week postoperatively, in 86 eyes (90.53%) at one month, in 87 eyes (91.58%) at 3 months, and in 85 eyes (89.48%) at 6 months. The most common intra-operative complication was iris prolapse (7.37%). Other intra-operative complications were posterior capsule rupture (2.11%), transient intracameral bleeding (2.11%), and capsulorhexis tear (2.11%). The most significant post operative complication was transient corneal edema located at the corneal wound, which developed in seven eyes (7.37%). No other significant complications were noted during the six-month follow up period. Mean endothelial cell loss was 5.3% at one month and 7.1% at three months post operatively.


CONCLUSIONS
Manual sutureless cataract surgery with foldable intraocular lens using the Kongsap technique when performed by an experienced surgeon was a safe procedure with good visual recovery and no need for a phaco machine.
Kongsap
Pipat
P
Department of Ophthalmology, Prapokklao Hospital, Chanthaburi 22000, Thailand. pkongsap@yahoo.com
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014792:Visual Acuity