Journal of Cataract & Refractive Surgery
Volume 32, Issue 11 , Pages 1820-1826 , November 2006

In vivo architectural analysis of 3.2 mm clear corneal incisions for phacoemulsification using optical coherence tomography

,Accepted 21 June 2006.

References 

  1. Leaming DV. Practice styles and preferences of ASCRS members—2003 survey. J Cataract Refract Surg. 2004;30:892–900
  2. Lyle WA, Jin GJC. Prospective evaluation of early visual and refractive effects with small clear corneal incision for cataract surgery. J Cataract Refract Surg. 1996;22:1456–1460
  3. Qammar A, Mullaney P. Paired opposite clear corneal incisions to correct preexisting astigmatism in cataract patients. J Cataract Refract Surg. 2005;31:1167–1170
  4. Matsumoto Y, Hara T, Chiba K, Chikuda M. Optimal incision sites to obtain an astigmatism-free cornea after cataract surgery with a 3.2 mm sutureless incision. J Cataract Refract Surg. 2001;27:1615–1619
  5. Müller-Jensen K, Fischer P, Siepe U. Limbal relaxing incisions to correct astigmatism in clear corneal cataract surgery. J Refract Surg. 1999;15:586–589
  6. Eifrig CWG, Flynn HW, Scott IU, Newton J. Acute-onset postoperative endophthalmitis: review of incidence and visual outcomes (1995–2001). Ophthalmic Surg Lasers. 2002;33:373–378erratum 2003; 34:80
  7. Masket S. Is there a relationship between clear corneal cataract incisions and endophthalmitis?. [editorial] J Cataract Refract Surg. 2005;31:643–645
  8. Nagaki Y, Hayasaka S, Kadoi C, et al. Bacterial endophthalmitis after small-incision cataract surgery; effect of incision placement and intraocular lens type. J Cataract Refract Surg. 2003;29:20–26
  9. McDonnell PJ, Taban M, Sarayba M, et al. Dynamic morphology of clear corneal cataract incisions. Ophthalmology. 2003;110:2342–2348
  10. Taban M, Rao B, Reznik J, et al. Dynamic morphology of sutureless cataract wounds—effect of incision angle and location. Surv Ophthalmol. 2004;49(suppl 2):S62–S72
  11. Huang D, Swanson EA, Lin C-P, et al. Optical coherence tomography. Science. 1991;254:1178–1181
  12. Izatt JA, Hee MR, Swanson EA, et al. Micrometer-scale resolution imaging of the anterior eye in vivo with optical coherence tomography. Arch Ophthalmol. 1994;112:1584–1589
  13. Maldonado MJ, Ruiz-Oblitas L, Munuera JM, et al. Optical coherence tomography evaluation of the corneal cap and stromal bed features after laser in situ keratomileusis for high myopia and astigmatism. Ophthalmology. 2000;107:81–87discussion by DR Hardten, 88
  14. Muscat S, McKay N, Parks S, et al. Repeatability and reproducibility of corneal thickness measurements by optical coherence tomography. Invest Ophthalmol Vis Sci. 2002;43:1791–1795
  15. Uçakhan ÖÖ, Tello C, Liebmann JM, et al. Optical coherence tomography of Intacs. [letter] J Cataract Refract Surg. 2001;27:1535
  16. Wang J, Fonn D, Simpson TL, et al. Topographical thickness of the epithelium and total cornea after overnight wear of reverse-geometry rigid contact lenses for myopia reduction. Invest Ophthalmol Vis Sci. 2003;44:4742–4746
  17. Wirbelauer C, Scholz C, Häberle H, et al. Corneal optical coherence tomography before and after phototherapeutic keratectomy for recurrent epithelial erosions. J Cataract Refract Surg. 2002;28:1629–1635
  18. Wirbelauer C, Scholz C, Hoerauf H, et al. Corneal optical coherence tomography before and immediately after excimer laser photorefractive keratectomy. Am J Ophthalmol. 2000;130:693–699
  19. Taban M, Sarayba MA, Ignacio TS, et al. Ingress of India ink into the anterior chamber through sutureless clear corneal cataract wounds. Arch Ophthalmol. 2005;123:643–648
  20. Fine IH, Hoffman RS. Clear corneal cataract surgery. Ophthalmic Surg Lasers. 1998;29:822–831
  21. Bron AJ. The architecture of the corneal stroma. [editorial] Br J Ophthalmol. 2001;85:379–381
  22. Müller LJ, Pels E, Vrensen GFJM. The specific architecture of the anterior stroma accounts for maintenance of corneal curvature. Br J Ophthalmol. 2001;85:437–443
  23. Yokoi N, Kinoshita S. Clinical evaluation of corneal epithelial barrier function with the slit-lamp fluorophotometer. Cornea. 1995;14:485–489
  24. Fine IH. Clear corneal incisions. Int Ophthalmol Clin. 1994;34(2):59–72
  25. Connon CJ, Meek KM, Kinoshita S, Quantock AJ. Spatial and temporal alterations in the collagen fibrillar array during the onset of transparency in the avian cornea. Exp Eye Res. 2004;78:909–915
  26. Melles GRJ, Binder PS, Anderson JA. Variation in healing throughout the depth of long-term, unsutured, corneal wounds in human autopsy specimens and monkeys. Arch Ophthalmol. 1994;112:100–109
  27. Melles GRJ, SundarRaj N, Binder PS, et al. Immunohistochemical analysis of unsutured and sutured corneal wound healing. Curr Eye Res. 1995;14:809–817
  28. Behndig A, Lundberg B. Transient corneal edema after phacoemulsification: comparison of 3 viscoelastic regimens. J Cataract Refract Surg. 2002;28:1551–1556
  29. Hayashi K, Hayashi H, Nakao F, Hayashi F. Risk factors for corneal endothelial injury during phacoemulsification. J Cataract Refract Surg. 1996;22:1079–1084
  30. Lundberg B, Jonsson M, Behndig A. Postoperative corneal swelling correlates strongly to corneal endothelial cell loss after phacoemulsification cataract surgery. Am J Ophthalmol. 2005;139:1035–1041
  31. Kohnen T, Kasper T. Incision sizes before and after implantation of 6-mm optic foldable intraocular lenses using Monarch and Unfolder injector systems. Ophthalmology. 2005;112:58–66
  32. Mamalis N. Incision width after phacoemulsification with foldable intraocular lens implantation. J Cataract Refract Surg. 2000;26:237–241
  33. Moreno-Montañés J, García-Layana A, Aliseda D, Munuera JM. Variation in clear cornea incision size after phacoemulsification and foldable lens implantation. J Cataract Refract Surg. 1998;24:931–934
  34. Steinert RF, Deacon J. Enlargement of incision width during phacoemulsification and folded intraocular lens implant surgery. Ophthalmology. 1996;103:220–225
  35. Ernest PH, Fenzl R, Lavery KT, Sensoli A. Relative stability of clear corneal incisions in a cadaver eye model. J Cataract Refract Surg. 1995;21:39–42
  36. Ernest PH, Lavery KT, Kiessling LA. Relative strength of scleral corneal and clear corneal incisions constructed in cadaver eyes. J Cataract Refract Surg. 1994;20:626–629
  37. Mackool RJ, Russell RS. Strength of clear corneal incisions in cadaver eyes. J Cataract Refract Surg. 1996;22:721–725
  38. Anders N, Pham D-T, Antoni H-J, Wollensak J. Postoperative astigmatism and relative strength of scleral tunnel incisions: a prospective clinical trial. J Cataract Refract Surg. 1997;23:332–336
  39. Miller JJ, Scott IU, Flynn HW, et al. Acute-onset endophthalmitis after cataract surgery (2000-2004): incidence, clinical settings, and visual acuity outcomes after treatment. Am J Ophthalmol. 2005;139:983–987
  40. Ernest PH, Lavery KT, Kiessling LA. Relative strength of scleral tunnel incisions with internal corneal lips constructed in cadaver eyes. J Cataract Refract Surg. 1993;19:457–461
  41. Koch PS. Structural analysis of cataract incision construction. J Cataract Refract Surg. 1991;17:661–667
  42. Chou L, Cohen EJ, Laibson PR, Rapuano CJ. Factors associated with epithelial defects after penetrating keratoplasty. Ophthalmic Surg. 1994;25:700–703
  43. Machado RAM, Mannis MJ, Mandel HA, et al. The relationship between first postoperative day epithelial status and eventual health of the ocular surface in penetrating keratoplasty. Cornea. 2002;21:574–577
  44. Wagoner MD, Gonnah E-S. Corneal graft survival after prolonged storage in Optisol-GS. Cornea. 2005;24:976–979
  45. Bechmann M, Thiel MJ, Neubauer AS, et al. Central corneal thickness measurement with a retinal optical coherence tomography device versus standard ultrasonic pachymetry. Cornea. 2001;20:50–54
  46. Bechmann M, Thiel MJ, Roesen B, et al. Central corneal thickness determined with optical coherence tomography in various types of glaucoma. Br J Ophthalmol. 2000;84:1233–1237
  47. Hirano K, Ito Y, Suzuki T, et al. Optical coherence tomography for the noninvasive evaluation of the cornea. Cornea. 2001;20:281–289
  48. Hirano K, Kojima T, Nakamura M, Hotta Y. Triple anterior chamber after full-thickness lamellar keratoplasty for lattice corneal dystrophy. Cornea. 2001;20:530–533

 Presented in part at the ASCRS Symposium on Cataract, IOL and Refractive Surgery, Washington, DC, USA, April 2005.No author has a financial or proprietary interest in any material or method mentioned.Supported by the Asociacion Para Evitar La Ceguera en Mexico, Hospital Dr. Luis Sanchez Bulnes.

PII: S0886-3350(06)01006-6

doi: 10.1016/j.jcrs.2006.06.020

Journal of Cataract & Refractive Surgery
Volume 32, Issue 11 , Pages 1820-1826 , November 2006