RESULTS OF MANUAL SMALL INCISION CATARACT SURGERY IN HYPEMATURE CATARACTS

Published 2025 - 29th ESCRS Winter Meeting

Reference: PO137 | Type: Presented Poster & Poster | DOI: 10.82333/q14w-st16

Authors: George Kontadakis ¹ , Eleni-Nantia Derdera ¹ , Palaiologos Alexopoulos ² , Vasileios Peponis ³ , Stylianos Christoforou* ¹ , Dimitra Katri ¹

¹Ophthalmology,Pammakaristos Hospital,Athens,Greece, ²Ophthalmology,State University of New York (SUNY),New York,United States, ³1st Ophthalmology Department,Ophthalmiatreio Eye Hospital of Athens,ATHENS,Greece

Purpose

To report the results of Manual Small incision cataract surgery (MSICS) in hypemature cataracts.

Setting

Pammakaristos Hospital of Divine Providence.

Methods

12 eyes with hypermature cataracts underwent MSICS. All patients had visual acuity equal to or worse than +2.00 logMAR, and intraocular pressure within normal range. Ultrasound B/scan was performed without abnormal findings. In all eyes a superior sclerocorneal tunnel with side pockets was created after conjunctival dissection. Tunnel depth was about 300μm, length was 7mm, distance from limbus was 1.5 to 2mm and width was about 4mm. A continuous curvilinear capsulorhexis was performed with diameter more than 5.5mm. Lens nucleus was prolapsed to the anterior chamber and then removed through the tunnel with the assistance of a lens loop. Bimanual irrigation-aspiration through 2 side clear corneal incisions was performed. After the bag implantation of intraocular lens, the tunnel was secured with two sutures despite no signs of leakage in all but 1 case, and conjunctiva was repositioned and sutured. In one case more sutures were placed due to leakage through a buttonhole on the tunnel roof.

Results

All patients had mild edema the 1st postoperative day that was completely restored within 1 week. Average surgical induced astigmatism was 0.8D. Apart from the buttonhole, no other intraoperative or postoperative complication occurred. All patients achieved excellent visual acuity.

Conclusion

MSICS is a useful technique for the management of hypermature cataracts. The results and safety of the procedure in our series are, in accordance to the literature, comparable to those of phacoemulsification.