Cataract Surgery Outcomes: Comparison of 2.4 mm and 2.8 mm Clear Corneal Incisions

Bilal Kavşut, Sait Coşkun Özcan, Zehra Tunçbilek, Nilgün Solmaz, Feyza Önder
2018 Van Medical Journal  
Objective: To compare clinical outcomes of cataract surgeries with 2.4 mm and 2.8 mm clear corneal incisions. Materials and Methods: This retrospective study comprised 2 groups of cataract surgery cases with different wound lenghts of group 1; 2.4 mm and group 2; 2.8 mm. We evaluated 80 eyes of 72 patients with 3-month follow-ups. Procedures carried out using the temporal self-sealing incision technique. Measured intraoperative parameters included phacoemulsification time, mean cumulative
more » ... an cumulative dissipated ultrasound energy and total volume of balanced salt solution used. Keratometric data, specular microscopy and macular thickness were measured preoperatively, and postoperative 1 and 3 months. Vector analysis calculated the surgically induced astigmatism. SPSS 15.0 were used for statistical analysis. Results: There were no significant differences in intraoperative ultrasound energy, total phacoemulsification time and volume of balanced salt solution analyzed between two groups (p>0.05). There were no statistically significant difference between two groups in macular thickness alteration and endothelial cell loss (ECL) (p>0.05). The mean surgically induced astigmatism was significantly less in group 1 in each visit (p<0.05). Conclusion: Phacoemulsification surgery through a 2.4 mm incision size appeared to be safe and less surgically induced astigmatism.
doi:10.5505/vtd.2018.70894 fatcat:pop7ttsc5bekji4dmeqf4twcqi