Comparison of Surgically Induced Astigmatism between Superior and Temporal Clear Corneal Incision in Sutureless Cataract Surgery.
- Author:
Young Jae HU
1
;
Kyung Heon LEE
;
Choun Ki JOO
Author Information
1. Department of Ophthalmology, Catholic University Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Clear corneal incision;
Surgically induced astigmatism
- MeSH:
Astigmatism*;
Cataract*;
Phacoemulsification;
Silicones
- From:Journal of the Korean Ophthalmological Society
1998;39(3):495-500
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Postoperative changes of keratometric astigmatism were analysed in 137 cases of phacoemulsification and foldable silicone posterior chamber lens implantation using clear corneal incision. The subjects were divided into two groups; Group 1 comprised 36 eyes which underwent surgery using a superior approach, Group 2 comprised 101 eyes which underwent surgery using a temporal approach. Surgically induced keratometric astigmatism in Group 1 was -1.14+/-1.02 diopter(D) at one day, -0.98+/-1.03 D at one week, -0.58+/-0.94 D at two months after operation, and in Group 2 was 0.69+/-0.97 D at one day, 0.96+/-1.08 at one week, 0.63+/-0.68 at two months after operation. The difference of absolute astigmatism between two groups was statistically significant(p<0.05) at one day after operation. But there was no statistically significant difference at one week and two months after operation. Temporal incision induced less astigmatism than superior incision temporarily in cataract surgery using clear corneal incision.