PMID: 9159677Apr 1, 1997Paper

Corneal changes after cataract surgery with 5.0 mm sutured and 3.5 mm sutureless clear corneal incisions

Journal of Cataract and Refractive Surgery
R R Holweger, B Marefat

Abstract

To study corneal changes after endocapsular phacoemulsification cataract extraction and intraocular lens (IOL) implantation with a 3.5 mm clear corneal sutureless incision or a 5.0 mm clear corneal incision with an absorbable suture. Northwest Kansas Eye Clinic, Hays, Kansas, USA. In a prospective study, 200 eyes were randomly distributed into two groups. Group A comprised 100 eyes that had a silicone IOL inserted through a 3.5 mm sutureless clear corneal incision. Group B comprised 100 eyes that had a 5.0 mm poly(methyl methacrylate) (PMMA) IOL inserted through a 5.0 mm clear corneal incision; one half of the closures used a single radial suture (Group B1), and the other half, an X suture (Group B2). Preoperatively, corneal topography and corneal endothelial cell counts were performed. Six to 8 months postoperatively, they were repeated and evaluated. Differential topography was used to determine the difference between the preoperative and postoperative corneas. During the final postoperative visit, IOL centration was evaluated. All closures produced only minimal changes in the corneal topographic indices. The postoperative corneas closely resembled the preoperative corneas. Polar K values showed a slight astigmatic shift in a...Continue Reading

References

Jan 1, 1991·Journal of Cataract and Refractive Surgery·H B Grabow
Mar 1, 1991·Archives of Ophthalmology·S E Wilson, S D Klyce
Nov 1, 1990·Journal of Cataract and Refractive Surgery·K Naeser
Jan 1, 1989·Journal of Cataract and Refractive Surgery·J R Shepherd
Jan 1, 1989·Journal of Cataract and Refractive Surgery·A C NeumannM G Raanan
Jan 1, 1994·Journal of Cataract and Refractive Surgery·S H FeilR J Olson
Nov 1, 1993·Ophthalmology·S E WilsonZ M Husseini

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Citations

Jan 5, 2002·Journal of Cataract and Refractive Surgery·Giorgio BeltrameMarzio Chizzolini
Nov 30, 2002·Journal of Cataract and Refractive Surgery·Akira Ishikawa
Sep 29, 2009·Journal of Cataract and Refractive Surgery·Richard S HoffmanMark Packer
Nov 17, 2015·Current Opinion in Ophthalmology·Hassan HashemiAbbasali Yekta
Dec 2, 2006·Journal of Cataract and Refractive Surgery·Edmondo BorasioVincenzo Maurino
Nov 15, 2006·Cornea·Gerrit R J MellesJacqueline van der Wees

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