["No-stitch" cataract surgery as a routine procedure. Technique and experiences].

We present a modified self-sealing wound construction with a trapezoidal incision for No-Stitch-Technique. Due to the form of the incision and the elasticity of the sclera the 6 mm incision can be extended to about 8 mm which allows an implantation of conventional PMMA-IOL without excessive scleral stretching. Since the beginning of 1991 this technique has been used routinely in our clinic with over 1500 operations. The No-Stitch-Technique has, in comparison to the sutured corneo scleral incision, two main advantages: the wound closure has a five fold higher stability and an induced astigmatism of less than 1.0 dpt. Other postoperative complications, such as wound dehiscence, iris prolapse and hypotony syndrome, were significantly eliminated.