Non phaco suture less cataract extraction through temporal approach.
BACKGROUND
Non Phaco suture less cataract extraction through temporal approach retains most of the advantages of phacoemulsification but can be delivered at lower cost with better visual out come.


METHODS
Extra capsular cataract extraction followed by posterior chamber intraocular lens implantation was performed, on 300 eyes of 250 patients. The technique involved was posterior limbal corneal tunnel incision through temporal approach, followed by implantation of PMMA posterior chamber intraocular lens. Visual acuity at the time of discharge, third post operative week and sixth week was recorded. Surgically induced astigmatism was reported.


RESULTS
The uncorrected visual acuity at discharge was 6/18 or better in 63.2% eyes. The best corrected visual acuity was 6/9 and better in 96.0% subjects at six weeks. Poor visual outcome (< 6/60) occurred in 0.5% eyes. 0.4% subjects had posterior capsule rent followed by vitreous show. There was no increase in against the rule astigmatism, as the corneal incision was given through temporal approach.


CONCLUSIONS
Suture less manual extra capsular cataract surgery through temporal approach ensures rapid visual recovery with minimum astigmatism against rule.
Department of Ophthalmology, University Eye Hospital, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan. sameenafzal1@gmail.com
Sameen Afzal
SA
Junejo
Shafi Muhammad
SM
Jatoi
Nisar Ahmed
NA
Khan
D000368:Aged; D001251:Astigmatism / Q000601:surgery*; D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D003315:Cornea / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D013537:Sutures; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity