Intraocular lens scaffolding technique in hypermature/Morgagnian cataract in manual small-incision cataract surgery
Muthukrishnan Gomathi Ramya1, Lakshana Malla Lokanathan, Madhu Shekhar
1From the Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India (Ramya, Shekhar, Waghamare); Department of General Ophthalmology, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India (Lokanathan, Murali).
Purpose:
To describe the surgical technique of intraocular lens (IOL) scaffolding in hypermature/Morgagnian cataract in manual small-incision cataract surgery (MSICS).
Setting:
Charitable section of the hospital through direct availed services at free/subsidized cost.
Design:
Interventional study.
Methods:
38 eyes of 38 patients operated at the charitable section of the hospital through direct availed services at free/subsidized cost were included in this study.
Results:
IOL scaffolding in MSICS was executed in 38 patients, of whom 25 patients were diagnosed as hypermature cataract, pseudoexfoliation syndrome with mature cataract in 5 patients, 5 patients had phacolytic glaucoma, and 3 patients had lens-induced uveitis. This technique was successful in 35 of 38 patients and was not successful in 3 patients in whom traditional SICS was performed in 2 patients and retrohaptic iris fixation in 1 patient.
Conclusions:
A technique that uses the IOL as a scaffold in hypermature cataract in MSICS that provides a stable barrier by stretching the capsular bag to prevent the crumpling of the bag or whole bag removal after nucleus delivery is described.
