title: Transconjunctival single-plane sclerocorneal incisions versus clear corneal incisions in cataract surgery.
abstract: OBJECTIVE
  To compare a transconjunctival single-plane sclerocorneal incision with 2 tiny conjunctival cuts at both ends and a clear corneal incision (CCI) in cataract surgery.
  
  
  METHODS
  Department of Ophthalmology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
  
  
  METHODS
  Patients having routine cataract surgery were randomly divided into 2 groups based on incision type; that is, transconjunctival single-plane sclerocorneal or CCI. The incidence of intraoperative ballooning of the conjunctiva (chemosis) and the percentage of eyes that required stromal hydration to securely close the wound in each group were recorded and compared.
  
  
  RESULTS
  Each group comprised 61 eyes (61 patients). No eye in the transconjunctival sclerocorneal group and 6 eyes (9.8%) in the CCI group developed intraoperative conjunctival chemosis (P = .027, Fisher exact probability test). Corneal stromal hydration was required in 2 eyes (3.3%) and 15 eyes (24.6%), respectively (P = .001).
  
  
  CONCLUSIONS
  The transconjunctival single-plane sclerocorneal incision was effective and combined the merits of CCI incisions and sclerocorneal incisions.
authors.affiliation: Sugai Eye Clinic, Fukuoka, Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Sugai
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Yoshitomi
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Oshika
mesh_terms: D019923:Capsulorhexis; D003228:Conjunctiva / Q000601:surgery*; D003315:Cornea / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications; D012590:Sclera / Q000601:surgery*; D014945:Wound Healing