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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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REFRACTIVE SURGERY UPDATE
Year : 2014  |  Volume : 21  |  Issue : 1  |  Page : 25-31

Clear corneal incision in cataract surgery


1 Division of Anterior Segment, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia
2 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

Correspondence Address:
Samar A Al-Swailem
Division of Anterior Segment, King Khaled Eye Specialist Hospital, Post Office Box 7191 Riyadh 11462, Riyadh, Kingdom of Saudi Arabia

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.124084

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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.


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