AIMS To compare the corneal refractive changes induced after 3.0 mm temporal and nasal corneal incisions in bilateral cataract surgery. MATERIALS AND METHODS This prospective study comprised a consecutive case series of 60 eyes from 30 patients with bilateral phacoemulsification that were implanted with a 6.0 mm foldable intraocular lens through a 3.0 mm horizontal clear corneal incision (tem...

PURPOSE To assess the early astigmatic effect induced by 2.75 mm clear cornea incisions with different locations for cataract surgery. METHODS A total of 146 eyes of different patients were studied prospectively. Cataract surgery was performed by three surgeons, two using a temporal approach and one using a superior approach. For both approaches, the site of the 2.75 mm incision was allowed t...

PURPOSE To compare the effects of biaxial microincision cataract surgery (B-MICS) and microcoaxial cataract surgery (C-MICS) techniques on corneal optical quality. MATERIALS AND METHODS In this prospective study, 40 eyes underwent B-MICS and 40 eyes C-MICS. Corneal aberrations were derived from conversion of the corneal elevation profile into corneal wavefront data with 6.0  mm aperture diame...

PURPOSE To analyze healing changes of corneal wounds of different corneal incision sizes with or without stromal hydration in cataract surgery using anterior segment optical coherence tomography. METHODS Cataract surgeries were performed by a single surgeon and 2.2- and 2.8-mm corneal incisions were made using a diamond blade (ME-759; Meyco, Biel-Bienne, Swiss). Patients were divided into fou...

APRIL 2010 I CATARACT & REFRACTIVE SURGERY TODAY EUROPE I 31 T he incidence of wound gape or iris prolapse after cataract extraction reportedly ranges from 0% to 1.6% with phacoemulsification and 0% to 3% with extracapsular cataract extraction.1 Contemporary cataract surgery is most commonly performed through sutureless clear corneal incisions with a wound width of 3.2 mm or less. These small w...

A technique for the safe evacuation of traumatic hyphaema is described. The viscoelastic properties of Healonid are used to separate the hyphaema from other ocular tissues and to extrude it through a small corneal incision. Healonid maintains a deep anterior chamber and a stable intraocular pressure. It also protects the lens, cornea, and iris and allows clear observation.