Al Mahmood Ammar M, Al-Swailem Samar A, Behrens Ashley
Division of Anterior Segment, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Division of Anterior Segment, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia ; Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Middle East Afr J Ophthalmol. 2014 Jan-Mar;21(1):25-31. doi: 10.4103/0974-9233.124084.
Since the introduction of sutureless clear corneal cataract incisions, the procedure has gained increasing popularity worldwide because it offers several advantages over the traditional sutured scleral tunnels and limbal incisions. Some of these benefits include lack of conjunctival trauma, less discomfort and bleeding, absence of suture-induced astigmatism, and faster visual rehabilitation. However, an increasing incidence of postoperative endophthalmitis after clear corneal cataract surgery has been reported. Different authors have shown a significant increase up to 15-fold in the incidence of endophthalmitis following clear corneal incision compared to scleral tunnels. The aim of this report is to review the advantages and disadvantages of clear corneal incisions in cataract surgery, emphasizing on wound construction recommendations based on published literature.
自从无缝合透明角膜白内障切口问世以来，该手术在全球范围内越来越受欢迎，因为与传统的缝合巩膜隧道和角膜缘切口相比，它具有多种优势。其中一些益处包括无结膜创伤、较少的不适和出血、无缝线诱导的散光以及更快的视力恢复。然而，据报道透明角膜白内障手术后眼内炎的发生率在增加。不同作者表明，与巩膜隧道切口相比，透明角膜切口后眼内炎的发生率显著增加，高达15倍。本报告的目的是回顾白内障手术中透明角膜切口的优缺点，并根据已发表的文献强调伤口构建建议。
