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VARIATION OF ASTIGMATISM BETWEEN TEMPORAL AND SUPERIOR APPROACH IN PHACO SURGERY
A Abdulameer1, M Abdulzahra1, Z Hashim1
1College of medicine, Al-Qadisiyah University, Iraq.
Georgian Medical News
|March 30, 2025
Summary
Temporal clear corneal incisions in phacoemulsification surgery are superior, resulting in less surgically induced astigmatism compared to superior incisions. This improves visual outcomes for astigmatism patients.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Patient expectations for perfect visual outcomes in phacoemulsification surgery necessitate procedural perfection.
- Advances in phacoemulsification techniques and equipment drive the need for optimized surgical approaches.
Purpose of the Study:
- To compare the visual outcomes of temporal versus superior incision sites in phacoemulsification surgery.
- To determine the efficacy of different phacoemulsification probe entrance sites.
Main Methods:
- A study involving 68 eyes from 59 patients undergoing phacoemulsification.
- Patients were divided into two groups: Group A (36 eyes, temporal incision) and Group B (32 eyes, superior incision).
Main Results:
- The superior incision group (Group B) showed a significant increase in against-the-rule (ATR) astigmatism (91% postoperatively vs. 44% preoperatively).
- The temporal incision group (Group A) experienced a reduction in ATR astigmatism (33% postoperatively vs. 45% preoperatively).
Conclusions:
- Phacoemulsification surgery effectively manages astigmatism in patients.
- Temporal clear corneal incisions offer greater feasibility and induce less astigmatism compared to superior corneal incisions.
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