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Manual tunnel incision extracapsular cataract extraction using the sandwich technique
H Bayramlar1, O Cekiç, Y Totan
1Department of Ophthalmology, Turgut Ozal Medical Center, Inönü University Faculty of Medicine, Malatya, Turkey.
Journal of Cataract and Refractive Surgery
|March 18, 1999
Summary
Small incision extracapsular cataract extraction (ECCE) using the sandwich technique offers a safe and easy method for cataract removal. This approach achieved good visual outcomes in most patients without requiring expensive equipment.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Cataract extraction is a common surgical procedure.
- Minimally invasive techniques aim to improve patient outcomes and reduce complications.
Purpose of the Study:
- To describe and evaluate the safety and efficacy of the sandwich technique for small incision extracapsular cataract extraction (ECCE).
Main Methods:
- The sandwich technique involves manipulating the nucleus into the anterior chamber for extraction.
- Specific steps include capsulorhexis, hydrodissection, hydrodelineation, and nucleus removal using an irrigating vectis and iris spatula.
- The procedure was performed on 37 eyes.
Main Results:
- Most patients achieved a best corrected visual acuity of 5/10 or better postoperatively.
- Complications observed included posterior capsule rupture, vitreous loss, and transient corneal edema.
Conclusions:
- Small incision ECCE utilizing the sandwich technique is a safe and straightforward procedure.
- This method does not necessitate specialized or costly instrumentation, making it accessible.