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Manual cataract extraction via a subconjunctival limbus oblique incision for mature cataracts (vol 62. pg 274, 2014)

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机构: [1]Department of Ophthalmology, the First People’s Hospital of Yunnan Province, [2]Jiangxi Eye Center, Jiangxi Provincial People’s Hospital, Nanchang, Jiangxi Province, [3]National Natural Science Foundation, P.R. China
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关键词: Limbus incision subconjunctival incision sutureless manual small‑incision cataract surgery wound construction

摘要:
Aims: To report the technique and outcomes of sutureless manual cataract extraction via a subconjunctival limbus oblique incision for mature cataracts. Materials and Methods: This retrospective study comprised of 112 eyes of 83 patients with mature cataract who all had manual cataract extraction via a subconjunctival limbus oblique incision. A transconjunctival tunnel is fashioned with a 3.0 mm keratome, 0.5 mm behind the limbal vascular arcades. A limbal tunnel, with a transverse extent of 9 mm in the cornea and 7.0 mm in the limbus, is created beneath the conjunctival/Tenon’s tissue using an angled bevel‑up crescent blade. Outcome measures included visual acuity, intraoperative complications, surgically induced astigmatism, endothelial cell loss rate and surgery time. Results: Self‑sealing wound was achieved in 112 eyes (98.2%). The nucleus was delivered in whole in 108 eyes (96.4%). Intraoperative complications included hyphema in 3 eyes (2.7%), iridodialysis in 2 eyes 1.8%), posterior capsular rupture and zonular dialysis in 2 eyes (1.8%). At the 3‑month follow‑up, 91% patients achieved a best-corrected visual acuity of 20/20 or better, the mean of surgically induced astigmatism was ‑0.62 ± 0.41 Diopters and endothelial cell loss was 4.2%. Average surgical time was 3.75 min per case. Conclusion: This subconjunctival limbus oblique incision has the potential to serve as safe and effective technique for mature cataracts.

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 4 区 眼科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 眼科学
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出版当年[2013]版:
Q4 OPHTHALMOLOGY
最新[2023]版:
Q2 OPHTHALMOLOGY

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第一作者机构: [1]Department of Ophthalmology, the First People’s Hospital of Yunnan Province,
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通讯机构: [2]Jiangxi Eye Center, Jiangxi Provincial People’s Hospital, Nanchang, Jiangxi Province, [*1]Aiguo Road 92, Nanchang, Jiangxi province, P.R.China
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