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Title

IDEAL INCISION FOR CATARACT SURGERY

Pages

  64-70

Abstract

 Purpose: To recommend an ideal incision for CATARACT SURGERY.Method: After searching the MedLine by using the keywords "incision, CATARACT SURGERY" the author reviewed 311 relevant articles which were published from 1966 to 2000. Among those articles the author selected some articles about postoperative ASTIGMATISM, hyphema or infection, and compared the results of them with his own experiences.Results and conclusion: An ideal cataract incision should have proper relative strength to prevent leakage from the wound with least hyphema, least induced ASTIGMATISM, and least wound infection after the operation and should decrease unnecessary manipulation during and after the surgery. This evaluation showed that a 3-step tunnel incision with an internal corneal lip has no leakage at the intraocular pressure more than 400mmHg. Analyzing the structural components of the incision showed that changing the shape of the external incision from the limbus-parallel to a linear incision or to a curved incision away from the limbus, results in a more stable incision with less induced ASTIGMATISM. Corneal stability is directly related to the internal entry of the incision. This stability improves as the closure sutures change from radial to horizontal, especially when they are closer to the internal entry. The rate of the postoperative hyphema also decreases when the horizontal closure is nearer to the internal entry of the incision. This 3-step incision is a self-sealing incision and there is no need for postoperative manipulation.

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APA: Copy

NIK EGHBALI, A.. (2000). IDEAL INCISION FOR CATARACT SURGERY. BINA, 6(1), 64-70. SID. https://sid.ir/paper/42367/en

Vancouver: Copy

NIK EGHBALI A.. IDEAL INCISION FOR CATARACT SURGERY. BINA[Internet]. 2000;6(1):64-70. Available from: https://sid.ir/paper/42367/en

IEEE: Copy

A. NIK EGHBALI, “IDEAL INCISION FOR CATARACT SURGERY,” BINA, vol. 6, no. 1, pp. 64–70, 2000, [Online]. Available: https://sid.ir/paper/42367/en

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