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  • Title: [The effect of corneal incision method on astigmatism after cataract extraction].
    Author: Smyk A, Kropińska E, Orzałkiewicz A.
    Journal: Klin Oczna; 1998; 100(2):101-5. PubMed ID: 9695545.
    Abstract:
    PURPOSE: To assess the effect of the type of corneal incision and its closure on astigmatism after cataract extraction. MATERIAL AND METHODS: Induced astigmatism was evaluated in 94 eyes after cataract extraction with IOL implantation 7 days, 1 month, 3 months, 6 months and 12 months after operation. 3 groups: were compared I--after extracapsular extraction with corneo-scleral incision (10 h-2 h) and continuous cross-like suture, II--after phacoemulsifications with scleral tunnel incision (3.3 mm) without suture. RESULTS: The highest induced astigmatism was observed 7 days after surgery in patients with the longest corneo-scleral incision with suture (group I). Induced astigmatism gradually decreased in time. In group after phacoemulsification especially with no suture low astigmatism with prompt stabilization was observed. CONCLUSIONS: The length and type of closure of the incision have an essential effect on induced astigmatism. Small incision, especially without suture induces minimal early postoperative astigmatism which remains stabile.
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