J Korean Ophthalmol Soc.  1998 Jun;39(6):1165-1169.

Enlargement of Incision During Phacoemulsification and Folded Intraocular Lens Implant Surgery

• Kim HK
• Chung YT

Abstract

As a study that the incision size was changed at each step of the surgical procedure but it is different, from the universal assumption that. the incision width initially created by a keratome during cataract extraction remained same size after the end of the surgical procedure, the authors investigated a comparative study between the two studies. We used specially designed instrument for accurate measuring of the incision size in 100 eyes and the incision size was measured after the creation of the initial incision, after the coirlpletion of phacoemulsification, after widening the incision and after the folded IOL insertion. Dividing group A and B in 50 eyes respectively, we designated the incision enlargement with 3.0mm keratome as A and 3.2mm keratome as B. It appeared statistically significant widening of the incision by approximately 0.06mm after the completion of phacoemulsification, 0.19mm after the folded IOL insertion in group A and 0. 05mm, 0.1mm in group B, respectively. Future studies of the surgical techniques and the postoperative healing after small incision cataract surgery must measure the actual incision size to avoid misleading assumption that the keratome size at the beginning of the procedure determines the incision size at. the end of the procedure.

Keyword

Cataract; Incision size; Intraocular lens; Phacoemulsification

MeSH Terms

Cataract
Cataract Extraction
Lenses, Intraocular*
Phacoemulsification*