| Title | Endothelial cell loss and surgically induced astigmatism after sutureless large-incision manual cataract extraction (SLIMCE). | | Author(s) | Lam DS, Rao SK, Fan AH, Congdon NG, Wong V, Liu Y, Lam PT | | Institution | 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@cuhk.edu.hk | | Source | Arch Ophthalmol 2009 Oct; 127(10):1284-9. | | MeSH | Aged
Aged, 80 and over
Astigmatism
Cataract Extraction
Corneal Diseases
Endothelium, Corneal
Female
Humans
Intraoperative Complications
Male
Middle Aged
Postoperative Complications
Refraction, Ocular
Retrospective Studies
Suture Techniques
Treatment Outcome
Visual Acuity
| | 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. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19822843 |
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