Endothelial cell loss and surgically induced astigmatism after sutureless large-incision manual cataract extraction (SLIMCE).

Full Abstract

OBJECTIVES: To describe a modified manual cataract extraction technique, sutureless large-incision manual cataract extraction (SLIMCE), and to report its clinical outcomes. METHODS: Case notes of 50 consecutive patients with cataract surgery performed using the SLIMCE technique were retrospectively reviewed. Clinical outcomes 3 months after surgery were analyzed, including postoperative uncorrected visual acuity, best-corrected visual acuity, intraoperative and postoperative complications, endothelial cell loss, and surgically induced astigmatism using the vector analysis method. RESULTS: At the 3-month follow-up, all 50 patients had postoperative best-corrected visual acuity of at least 20/60, and 37 patients (74%) had visual acuity of at least 20/30. Uncorrected visual acuity was at least 20/68 in 28 patients (56%) and was between 20/80 and 20/200 in 22 patients (44%). No significant intraoperative complications were encountered, and sutureless wounds were achieved in all but 2 patients. At the 3-month follow-up, endothelial cell loss was 3.9%, and the mean surgically induced astigmatism was 0.69 diopter. CONCLUSIONS: SLIMCE is a safe and effective manual cataract extraction technique with low rates of surgically induced astigmatism and endothelial cell loss. In view of its low cost, SLIMCE may have a potential role in reducing cataract blindness in developing countries.

Author information

Author/s: Lam, Dennis S C (DS); Rao, Srinivas K (SK); Fan, Alex H (AH); Congdon, Nathan G (NG); Wong, Victoria (V); Liu, Yingpeng (Y); Lam, Philip T H (PT);

Affiliation: Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Third Floor, 147K Argyle St, Kowloon, Hong Kong. dennislam_pub(-atsign-)cuhk.edu.hk

Journal and publication information

Publication Type: Journal Article

Journal: Archives of ophthalmology (Arch Ophthalmol), published in United States. (Language: eng)

Reference: 2009-Oct; vol 127 (issue 10) : pp 1284-9

Dates: Created 2009/10/13; Completed 2009/11/02;

PMID: 19822843, status: MEDLINE (last retrieval date: 11/2/2009, IMS Date: )

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