Non Phaco Sutureless Cataract Surgery with Small Scleral Tunnel Incision using Rigid PMMA IOLS

Abstract

Purpose: A non-comparative study to experience the results of non-phaco sutureless small incision scleral tunnel cataract surgery using rigid polymethylmethacrylate (PMMA) intraocular lenses (IOLs).

Material and Method: The study was conducted at civil hospital Jacobabad and Author’s Private Clinic. 200 eyes of 190 patients underwent sutureless small incision cataract surgery using rigid PMMA IOLs. 105 eyes were of males (52.5%) and 95 were females (47.5%) patients with mean age of 67.5 years. Patients with age related cataracts having no history of eye surgery and no ocular or systemic disease were included in the study.

Results: Keratitis was the commonest operative complication (36. 5%) irregular and ragged scleral tunnel was the next (19%). Surgically induced astigmatism ranged from + 0.5 to + 3.25D (1.87D mean) with good visual results (6/6 to 6/18) in 91% of cases after 4 week of follow up.

Conclusion: Due to high cost and difficult learning curve of phaco surgery small incision scleral tunnel sutureless cataract operation is a good alternative. It produces good visual results, quick rehabilitation and has an easy learning-curve.