title: Two-hook technique for nucleus extraction in manual sutureless extracapsular cataract extraction.
abstract: Nucleus extraction in manual sutureless extracapsular cataract extraction (ECCE) using the 2-hook technique is described. After capsulorhexis and hydrodissection are performed, the nucleus is moved into the anterior chamber and extracted by pulling with a Sinskey hook and pressuring the scleral bed with a Kuglen hook. In a series of 1320 eyes, 85% achieved a corrected visual acuity of 5/10 or better postoperatively. Complications were posterior capsule rupture, vitreous loss, and transient corneal edema. Manual sutureless ECCE using the 2-hook technique is safe and efficient and does not require expensive instrumentation.
authors.affiliation: Department of Ophthalmology, No.535 Hospital of PLA, Huaihua City, Hunan Province, China.
authors.forename: Jiang-wen
authors.initials: JW
authors.lastname: Deng
authors.forename: Yi-tao
authors.initials: YT
authors.lastname: Yang
authors.forename: Yuan
authors.initials: Y
authors.lastname: Zeng
authors.forename: Zi-mei
authors.initials: ZM
authors.lastname: Tang
authors.forename: Xue-jun
authors.initials: XJ
authors.lastname: Liu
authors.forename: Xiang-yuan
authors.initials: XY
authors.lastname: Fu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019923:Capsulorhexis; D002386:Cataract / Q000145:classification; D002387:Cataract Extraction / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007907:Lens Nucleus, Crystalline / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D013536:Suture Techniques; D014792:Visual Acuity