The location of incision in cataract surgery and its impact on induced astigmatism

被引:54
作者
Hashemi, Hassan [1 ]
Khabazkhoob, Mehdi [2 ]
Soroush, Sara [3 ]
Shariati, Reyhane [3 ]
Miraftab, Mohammad [1 ]
Yekta, Abbasali [4 ]
机构
[1] Noor Eye Hosp, Noor Res Ctr Ophthalm Epidemiol, Tehran 1968653111, Iran
[2] Shahid Beheshti Univ Med Sci, Fac Publ Hlth, Dept Epidemiol, Tehran, Iran
[3] Noor Eye Hosp, Noor Ophthalmol Res Ctr, Tehran 1968653111, Iran
[4] Mashhad Univ Med Sci, Sch Paramed Sci, Dept Optometry, Mashhad, Iran
关键词
cataract surgery; on-axis; superior; surgically induced astigmatism; temporal; SURGICALLY INDUCED ASTIGMATISM; CLEAR CORNEAL INCISIONS; LIMBAL RELAXING INCISIONS; TORIC INTRAOCULAR LENSES; ON-AXIS INCISIONS; COAXIAL PHACOEMULSIFICATION; PREEXISTING ASTIGMATISM; TEMPORAL INCISIONS; TUNNEL INCISIONS; SHAPE CHANGES;
D O I
10.1097/ICU.0000000000000223
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose of reviewThe purpose of the present study is a systematic review of previous studies on choosing the best incision site for the correction of astigmatism in cataract surgery and assessing the amount of surgically induced astigmatism (SIA) with each approach.Recent findingsRegardless of astigmatism axis, studies show that using an on-axis incision is associated with favorable results for 0.5-1.0 diopter (D) of astigmatism. In cases with more than 1.0D astigmatism, paired on-axis incisions can be appreciably efficient in astigmatism correction and cause at least 1.5D SIA. Considering the amount of SIA, a temporal incision is the best approach when the patient has minimal amounts of corneal astigmatism preoperatively. At higher levels of astigmatism, if no other astigmatism correction method is used simultaneously, the temporal incision is used less frequently; however, since it is associated with the least SIA, it is still the choice site when another correction method is used.SummaryThe temporal incisions in cataract surgery are associated with little SIA and are appropriate choices for mild preoperative astigmatism. At higher levels of preoperative astigmatism, superior incisions are associated with better results when combined methods are not applied.
引用
收藏
页码:58 / 64
页数:7
相关论文
共 68 条
[1]   Outcomes of microincision cataract surgery versus coaxial phacoemulsification [J].
Alió, J ;
Rodríguez-Prats, JL ;
Galal, A ;
Ramzy, M .
OPHTHALMOLOGY, 2005, 112 (11) :1997-2003
[2]   Effect on astigmatism of the location of clear corneal incision in phacoemulsification of cataract [J].
Altan-Yaycioglu, Rana ;
Akova, Yonca A. ;
Akca, Sezin ;
Gur, Sirel ;
Oktem, Caglar .
JOURNAL OF REFRACTIVE SURGERY, 2007, 23 (05) :515-518
[3]   Astigmatism outcomes of horizontal temporal versus nasal dear corneal incision cataract surgery [J].
Barequet, IS ;
Yu, E ;
Vitale, S ;
Cassard, S ;
Azar, DT ;
Stark, WJ .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2004, 30 (02) :418-423
[4]   Surgically induced astigmatism after phacoemulsification in eyes with mild to moderate corneal astigmatism - Temporal versus on-axis clear corneal incisions [J].
Borasio, E ;
Mehta, JS ;
Maurino, V .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2006, 32 (04) :565-572
[5]   Torque and flattening effects of clear corneal temporal and on-axis incisions for phacoemulsification [J].
Borasio, Edmondo ;
Mehta, Jodhbir S. ;
Maurino, Vincenzo .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2006, 32 (12) :2030-2038
[6]   Prevalence of corneal astigmatism before cataract surgery in Chinese patients [J].
Chen, Weirong ;
Zuo, Chengguo ;
Chen, Chuyin ;
Su, Jinai ;
Luo, Lixia ;
Congdon, Nathan ;
Liu, Yizhi .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2013, 39 (02) :188-192
[7]   Temporal versus superior approach phacoemulsification: Short-term postoperative astigmatism [J].
Cillino, S ;
Morreale, D ;
Mauceri, A ;
Ajovalasit, C ;
Ponte, F .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1997, 23 (02) :267-271
[8]   Prevalence of corneal astigmatism before cataract surgery in Caucasian patients [J].
De Bernardo, Maddalena ;
Zeppa, Lucio ;
Cennamo, Michela ;
Iaccarino, Stefania ;
Zeppa, Lucia ;
Rosa, Nicola .
EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2014, 24 (04) :494-500
[9]   Surgically induced astigmatism after superotemporal and superonasal dear corneal incisions in phacoemulsification [J].
Ermis, SS ;
Inan, ÜÜ ;
Öztürk, F .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2004, 30 (06) :1316-1319
[10]   Astigmatic equivalence of 2.2-mm and 1.8-mm superior clear corneal cataract incision [J].
Febbraro, Jean-Luc ;
Wang, Li ;
Borasio, Edmondo ;
Richiardi, Lorenzo ;
Khan, Hamza N. ;
Saad, Alain ;
Gatinel, Damien ;
Koch, Douglas D. .
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2015, 253 (02) :261-265