Clinical outcome of cataract surgery using nasal clear corneal incision: safety and usability

Session Details

Session Title: Cataract Surgery Outcomes / Femto

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 09:21

Venue: Auditorium

First Author: : M.Kim SOUTH KOREA

Co Author(s): :                  

Abstract Details

Purpose:

To evaluate safety and usability of cataract surgery using nasal clear corneal incision (CCI) in comparison with superior and temporal CCIs in Koreans.

Setting:

Department of Ophthalmology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea

Methods:

We retrospectively reviewed the medical records of patients who underwent cataract surgery using CCI by 3 surgeons at Asan Medical Center between January 2008 and January 2014. Patients were divided into three groups according to CCI direction, which is nasal CCIs (group1), superior CCIs (Group II) and temporal CCIs (Group III). To assess safety, intraoperative complication, best corrected visual acuity (BCVA), intraocular pressure (IOP), keratometry, and refractive errors at pre- and postoperative 1 month were compared. To assess usability, operation time and wound stability were compared

Results:

A total of 3953 eyes (Group I: 1369 eyes, Group II: 1034 eyes, Group III: 1550 eyes) were included in this study. There was no significant difference in rate of intraocular complication among 3 groups. Pre- and post mean BCVA, IOP, keratometry, refractive errors and differences of mean BCVA, IOP, keratometry, refractive errors were not significantly different in 3 groups. Mean operation times were not significantly different in 3 groups(10.24 ± 4.74 vs. 10.91 ± 5.05 vs. 10.33 ± 4.04; P=0.79). Incidence of corneal wound suture were not significantly different in 3 groups (4.4% vs. 4.7% vs. 3.9%; P=0.29)

Conclusions:

The safety and usability of cataract surgery using nasal CCI were no significantly different with cataract surgery using temporal and superior CCI. These results provide evidence that cataract surgery using nasal CCI can be performed safely and conveniently.

Financial Interest:

NONE