Non phaco suture less cataract extraction through temporal approach

Area of Science:

• Ophthalmology
• Surgical Techniques
• Cataract Surgery

Background:

• Phacoemulsification is a common cataract extraction method.
• Non-phaco sutureless cataract extraction offers advantages like lower cost and better visual outcomes.
• The temporal approach in cataract surgery is explored for its benefits.

Purpose of the Study:

• To evaluate the efficacy of sutureless manual extracapsular cataract extraction (ECCE) via a temporal approach.
• To assess visual outcomes and surgically induced astigmatism following this technique.
• To compare the benefits of this method against phacoemulsification.

Main Methods:

• Performed ECCE with posterior chamber intraocular lens (IOL) implantation on 300 eyes (250 patients).
• Utilized a posterior limbal corneal tunnel incision through a temporal approach.
• Implanted Polymethylmethacrylate (PMMA) posterior chamber IOLs.

Main Results:

• 63.2% of eyes achieved uncorrected visual acuity of 6/18 or better at discharge.
• 96.0% of subjects had best corrected visual acuity of 6/9 or better by six weeks.
• Minimal astigmatism occurred, with no increase in against-the-rule astigmatism due to the temporal incision.

Conclusions:

• Sutureless manual ECCE through a temporal approach provides rapid visual recovery.
• This technique results in minimal against-the-rule astigmatism.
• It represents a viable, cost-effective alternative for cataract extraction.