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Small incision extracapsular cataract surgery with manual phacotrisection.
I F Hepşen1, O Cekiç, H Bayramlar
1Department of Ophthalmology, Turgut Ozal Medical Center, Inönü University Faculty of Medicine, Malatya, Turkey. hepsenif@usa.net
Journal of Cataract and Refractive Surgery
|August 18, 2000
Summary
Manual phacotrisection for small incision cataract surgery is safe and effective, achieving good visual acuity with minimal permanent complications. This technique offers nucleus safety and cost-effectiveness.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Cataract extraction is a common surgical procedure.
- Small incision extracapsular cataract extraction (ECCE) is a widely used technique.
Purpose of the Study:
- To evaluate the safety and efficacy of manual phacotrisection for small incision ECCE.
- To assess visual outcomes and complications associated with this technique.
Main Methods:
- Fifty-nine eyes underwent small incision ECCE using manual phacotrisection.
- The technique involves prolapsing and trisecting the nucleus in the anterior chamber.
- Nucleus pieces were extracted through a small incision.
Main Results:
- 83% of eyes achieved best spectacle-corrected visual acuity of 20/40 or better.
- Transient corneal edema was the most common postoperative complication (54%).
- No permanent complications were reported.
Conclusions:
- Manual phacotrisection is a safe and effective method for small incision ECCE.
- Advantages include nucleus safety, reduced reliance on assistants, and cost-effectiveness.
- Eliminates the need for a phacoemulsification machine.