Journal of the Korean Ophthalmological Society 2003;44(3):594-598.
Published online March 1, 2003.
The Comparison of Astigmatism According to The Incision Size In Cataract Operation.
Dong Hyun Jee, Phil Young Lee, Choun Ki Joo
Department of Ophthalmology, Kangnam St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Korea. ckjoo@cmc.cuk.ac.kr
소절개창 크기에 따른 난시변화
지동현 ( Dong Hyun Jee ) , 이필영 ( Phil Young Lee ) , 주천기 ( Choun Ki Joo )
Abstract
PURPOSE
We compared the amount of surgically induced astigmatism according to the incision size in cataract operation. METHODS: One hundred one eyes of 82 patients underwent cataract operation with temporal clear corneal incision. The eyes were classified into 3 groups according to IOL types and incision size: Group I; after 3.2mm sized incision, acrylic IOL was inserted using the injector. Group II; after 3.6mm sized incision, acrylic IOL was inserted using forceps. Group III; after 3.2mm sized incison, silicone IOL was inserted using the injector. The visual acuity and astigmatism was evaluated at preoperation, 1 week, 1 month and 2 months after the operation. RESULTS: In all groups, visual acuity was significantly improved at 1 week after the operation. Only in group II, astigmatism was increased statistically significantly at 1 week after the operation. The change of astigmatism in group I was statistically less than that in group II at 1 week after operation. In any groups, the change of astigmatism showed no difference at 1 month and 2 months after the operation. CONCLUSIONS: The 3.2 mm clear corneal incision for injector shows significantly smaller surgically induced astigmatism than that of 3.6 mm clear corneal incision for forcep in cataract surgery.
Key Words: Injector delivery system;Sensar IOL;Surgically induced astigmatism


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