Chevron sutureless closure: a preliminary report

An inverted V-shaped cataract incision with a scleral tunnel entry into the anterior chamber was used in 700 eyes. Two details distinguish this incision from other sutureless closures: the fulcrum in the crotch of the V provides easier access to the anterior chamber for instrument manipulation, and the termination of the scleral tunnel entry posterior to the cornea lessens the likelihood of corneal folds that may interfere with visualization during surgery. The surgical results in a preliminary survey show minimal iatrogenic change in corneal toricity and the type of complications usually associated with conventional cataract surgery.