NON PHACO SUTURE LESS CATARACT EXTRACTION THROUGH TEMPORAL APPROACH
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 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. Conclusion: Suture less manual extra capsular cataract surgery through temporal
approach ensures rapid visual recovery with minimum astigmatism against rule.
Keywords: Astigmatism, Cataract, extraction, corneal tunnel incision, temporal approach, Phaco
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