Corneal coma and trefoil changes associated with incision location in cataract surgery.

Abstract:

PURPOSE:To investigate changes in corneal higher-order aberrations (HOAs) associated with the incision location in cataract surgery. SETTING:Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. DESIGN:Observational case series. METHODS:Eyes were divided into 3 groups according to the different axes of incision location: superior, temporal, and nasal. Preoperative and 1-month postoperative corneal coma, trefoil, and spherical aberrations were compared. RESULTS:The study evaluated 119 eyes that had uneventful cataract surgery with a 2.2 mm limbal incision. The superior incision group showed significant changes in the vertical coma (amount of change: -0.119 μm ± 0.153 [SD]; P < .001) and vertical trefoil (amount of change: 0.185 ± 0.260 μm, P = .001). The nasal incision group showed a significant change in oblique trefoil (amount of change: 0.176 ± 0.207 μm; P < .001). The temporal incision group did not show significant changes in HOAs. CONCLUSION:The superior incision in 2.2 mm phacoemulsification cataract surgery caused a change in the corneal vertical coma in a negative direction. Corneal trefoil changes were dependent on the incision location. FINANCIAL DISCLOSURE:No author has a financial or proprietary interest in any material or method mentioned.

authors

Song IS,Park JH,Park JH,Yoon SY,Kim JY,Kim MJ,Tchah H

doi

10.1016/j.jcrs.2015.10.052

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

2145-51

issue

10

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(15)01182-7

journal_volume

41

pub_type

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