Effect of cataract wound incision size on acute changes in corneal topography.

Abstract:

:A randomized prospective trial compared keratometric and visual outcomes for 196 patients receiving 3.2 mm, 5.0 mm, or 6.0 mm incisions for cataract removal and intraocular lens implantation. There were no statistically significant differences among the groups preoperatively or at one to two days or three to six months postoperatively in mean keratometric cylinder, no differences postoperatively in surgically induced cylinder, and no differences in best-corrected visual acuity. Significantly more (P < .01) 3.2 mm cases (75%) had uncorrected visual acuity of 20/40 or better at one to two days postoperatively than 5.0 mm (50%) or 6.0 mm cases (47%). Computer-assisted corneal topographic images were available for the last 56 patients enrolled. Patients receiving 3.2 mm incisions had significantly less wound-related flattening than other patients (P < .05) and tended to have fewer surgically induced changes in corneal shape overall. Changes identified by corneal topography were inconsistent with keratometrically assessed cylinder in 14 patients.

authors

Martin RG,Sanders DR,Miller JD,Cox CC 3rd,Ballew C

doi

10.1016/s0886-3350(13)80402-6

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

170-7

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(13)80402-6

journal_volume

19 Suppl

pub_type

临床试验,杂志文章,随机对照试验
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