Journal of the Korean Ophthalmological Society 1995;36(11):1903-1909.
Published online November 1, 1995.
Keratometric Cylinder Changes following Phacoemulsitication using Frown Incision and Linear Scleral Tunnel Incision with 10-0 nylon Interrupted Sutures.
Ji Yeong Yi, Yeoung Geol Park
1Department of Ophthalmology, National Police Hospital, Seoul, Korea.
2Department of Ophthalmology, College of Medicine, Chonnam National University, Kwangju, Korea.
무봉합 frown 절개창과 10 - 0 nylon 단속봉합 직선형 공막편 절개창을 사용한 초음파유화흡입술후
이지영(Ji Yeong Yi),박영걸(Yeoung Geol Park)
Abstract
To evaluate surgically induced astigmatism in cataract surgery, we studied retrospectively a series of 30 eyes with 6.5mm sutureless frown incision(Group 1) and 30 eyes with linear scleral tunnel incision and 3 interrupt sutures using 100 nylon(Group 2). In all cases phacoemulsifications were performed and posterior chamber lenses were implanted. Group 1 showed the against-the-rule astigmatism at postoperative 2 week, and then the change of the astigmatism was minimal and still against-the-rule by postoperative 6 week and 3 month. In contrast, Group 2 showed with-therule astigmatism at postoperative 2 week and then showed the against-the-rule by postoperative 6 week and 3 month. There was no significant difference in the proportion of corrected visual acuity of 0.5 or better between two groups at postoperative 3 month, while uncorrected visual acuity of 0.5 or better was 93.3% in group 2, and 30.0% in group 1 at postoperative 3 month. In this study, it was found that the pattern of surgically induced astigmatism and uncorrected visual outcome in cataract surgery were different according to incision and suture techniques.
Key Words: Astigmatism;Frown incision;Linear scleral tunnel incision


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