机构:[1]Department of Ophthalmology, the First People’s Hospital of Yunnan Province,外科片眼科云南省第一人民医院[2]Jiangxi Eye Center, Jiangxi Provincial People’s Hospital, Nanchang, Jiangxi Province,[3]National Natural Science Foundation, P.R. China
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.
基金:
National Natural Science
Foundation of China (Grant No. 81060080).
Yang J.,Lai P.,Wu D.,et al.Manual cataract extraction via a subconjunctival limbus oblique incision for mature cataracts[J].INDIAN JOURNAL OF OPHTHALMOLOGY.2014,62(3):274-278.doi:10.4103/0301-4738.121135.
APA:
Yang, J.,Lai, P.,Wu, D.&Long, Z..(2014).Manual cataract extraction via a subconjunctival limbus oblique incision for mature cataracts.INDIAN JOURNAL OF OPHTHALMOLOGY,62,(3)
MLA:
Yang, J.,et al."Manual cataract extraction via a subconjunctival limbus oblique incision for mature cataracts".INDIAN JOURNAL OF OPHTHALMOLOGY 62..3(2014):274-278