NON PHACO SUTURE LESS CATARACT EXTRACTION THROUGH TEMPORAL APPROACH

Authors

  • Sameen Afzal Junejo
  • Shafi Muhammad Jatoi
  • Nisar Ahmed Khan

Abstract

Background: Non Phaco suture less cataract extraction through temporal approach retains mostof the advantages of phacoemulsification but can be delivered at lower cost with better visual outcome. Methods: Extra capsular cataract extraction followed by posterior chamber intraocular lensimplantation was performed, on 300 eyes of 250 patients. The technique involved was posteriorlimbal corneal tunnel incision through temporal approach, followed by implantation of PMMAposterior chamber intraocular lens. Visual acuity at the time of discharge, third post operativeweek and sixth week was recorded. Surgically induced astigmatism was reported. Results: Theuncorrected visual acuity at discharge was 6/18 or better in 63.2% eyes. The best corrected visualacuity was 6/9 and better in 96.0% subjects at six weeks. Poor visual outcome (<6/60) occurred in0.5% eyes. 0.4% subjects had posterior capsule rent followed by vitreous show. There was noincrease in against the rule astigmatism, as the corneal incision was given through temporalapproach. Conclusion: Suture less manual extra capsular cataract surgery through temporalapproach ensures rapid visual recovery with minimum astigmatism against rule.Keywords: Astigmatism, Cataract, extraction, corneal tunnel incision, temporal approach, Phaco

References

Brian G, Taylor H. Cataract blindness–challenges for the 21st

century. Bull World Health Organ 2001;79:249–56.

Minassian DC, Rosen P, Dart JK. Extra capsular cataract

extraction compared with small incision surgery by

phacoemulsification: a randomized trial. Br J Ophthalmol

;85:822–9.

Kamaljeet Singh. History of cataract surgery, Surgical

aspects in Small incision cataract surgery (Manual Phaco)

sted., Jaypee Brothers; 2002. pp. 4–8, 75–83.

Thomas R, Kuriakose T, George R. Towards achieving

small-incision cataract surgery 99.8% of the time. Indian J

Ophthalmol 2000; 48:145–51.

Hennig A, J Kumar, D Yorston , A Foster. Sutureless cataract

surgery with nucleus extraction: Outcome of a prospective

study in Nepal. Br J Ophthalmol 2003;87:266–70.

Natchiar G. Manual Small Incision Cataract Surgery.

Madurai India: Aravind Publications;2000.

Ruit S, Paudyal G, Gurung R. An innovation in developing

world cataract surgery: sutureless extracapsular cataract

extraction with intraocular lens implantation. Clin Exp

Ophthalmol 2000;28:274–9.

Yorston D, Foster A, Wood M. Does prospective monitoring

improve cataract surgery outcomes in Africa? Br J

Ophthalmol 2002;86:543–7.

Lyle WM. Changes in corneal astigmatism with age. Am J

Ophthmol 1971;48:467–78.

World Health Organization. Global initiative for the

elimination of avoidable blindness. Geneva: WHO,

WHO/PBL/97.61.

Malik AR, Qazi ZA, Gilbert C. Visual outcome after high

volume cataract surgery in Pakistan. Br J Ophthalmol

;87:937–40.

Gogate PM, Deshpande M, Wormald RP. Is manual small

incision cataract surgery affordable in the developing

countries? A cost comparison with extracapsular cataract

extraction. Br J Ophthalmol 2003;87:843–46.

Muralikrishnan R, Venkatesh R, Babu B, Manohar P,

Venkatesh N. A comparison of the effectiveness and cost

effectiveness of three different methods of cataract extraction

in relation to the magnitude of postoperative astigmatism.

Asia Pacific J Ophthalmol 2003;15:5–12.

Prajna NV, Chandrakanth KS, Kim R. The Madurai

intraocular lens study II: clinical outcomes. Am J Ophthalmol

;125:14–25.

Gogate P M, Deshpande M, Wormald R P, Deshpande R D,

Kulkarni S R. Extracapsular cataract surgery compared with

manual small incision cataract surgery in community eye

care setting in Western India: a randomized controlled trial.

Br J Ophthalmol 2003;87:667–72.

Published

2009-06-01

Issue

Vol. 21 No. 2 (2009): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.