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Updated: Aug 9, 2026
Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Audit of small-incision cataract surgery using an anterior chamber maintainer
T Sharma1, N Dhingra, T Worstmann
1Queen's Hospital, Burton-on-Trent, UK.
Purpose:
To assess the results of small-incision cataract surgery with intraocular lens implantation using an anterior chamber maintainer (ACM) performed between March 1997 and December 1998.
Method:
A retrospective audit was performed of all 300 consecutive patients who underwent extracapsular cataract extraction using a 6 mm scleral tunnel incision, anterior chamber maintainer and manual fragmentation of the nucleus.
Results:
Ninety per cent of patients had a gain in visual acuity at the end of 3 months. The rate of posterior capsule opacification was comparable to the results of the National Cataract Surgery Survey (RCO 1993), i.e. 13%, but the rate of corneal endothelial decompensation and endophthalmitis was marginally higher.
Conclusion:
Appropriate selection of cases, meticulous wound closure and subconjunctival antibiotics at the end of surgery make this an acceptable alternative small-incision closed-system low-cost procedure where phacoemulsification is not available.
