Open AccessClear corneal incision in cataract surgery
Author(s) -
Ammar M. Al Mahmood,
Samar A. Al-Swailem,
Ashley Behrens
Publication year - 2014
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.124084
Subject(s) - medicine , endophthalmitis , cataract surgery , fibrous joint , visual rehabilitation , surgery , phacoemulsification , ophthalmology , incidence (geometry) , astigmatism , visual acuity , physics , optics
Since the introduction of sutureless clear corneal cataract incisions, the procedure has gained increasing popularity worldwide because it offers several advantages over the traditional sutured scleral tunnels and limbal incisions. Some of these benefits include lack of conjunctival trauma, less discomfort and bleeding, absence of suture-induced astigmatism, and faster visual rehabilitation. However, an increasing incidence of postoperative endophthalmitis after clear corneal cataract surgery has been reported. Different authors have shown a significant increase up to 15-fold in the incidence of endophthalmitis following clear corneal incision compared to scleral tunnels. The aim of this report is to review the advantages and disadvantages of clear corneal incisions in cataract surgery, emphasizing on wound construction recommendations based on published literature.