Topography-guided incision cataract surgery on corneal astigmatism correction.docVIP

 PAGE \* MERGEFORMAT 22 Topography-guided incision cataract surgery on corneal astigmatism correction [Abstract] Objective: To compare the location and morphology of cataract incision on corneal astigmatism and uncorrected visual acuity. Methods: Select the value of preoperative corneal astigmatismgt; 1.00D of 52 eyes of 43 cases of cataract patients, patients were randomly divided into two group, A group of patients than with phacoemulsification and intraocular lens implantation, the incision is 10:30 to 11:30 at the top of the clear corneal tunnel incision. B group were broken by means of nuclear cataract extraction and intraocular lens implantation surgery, which is 1.00 ~ 2.00D of corneal astigmatism in patients with corneal incision is located in the largest diameter of the line linear refractive scleral tunnel incision, a length of 6.0 ~ 7.0mm, the value of corneal astigmatismgt; 2.00D of the patients in the straight-line incision contralateral limbus, and the other to make a curved lamellar relaxing incision. respectively after 2wk, 3mo follow-up patients, check the uncorrected visual acuity and corneal topography examination line. Results: B group patients 2wk, 3mo better uncorrected visual acuity in the A group. B patients in the postoperative corneal astigmatism after 2wk, 3mo less than when the A group. Conclusion: The maximum corneal refractive power in the 6.0 ~ 7.0mm diameter wire linear scleral tunnel incision, and the cut against the United side of the curved plate layer relaxing incision cataract surgery can effectively correct astigmatism existed before, which enable patients to better uncorrected visual acuity [Keywords:] cataract, corneal astigmatism, wound Abstract AIM: To compare the effect of different incisions on corneal astigmatism and uncorrected visual acuity in cataract surgery. METHODS: Fifty two eyes of 43 patients with corneal astigmatism above 1.00D were selected to undergo cataract surgery.Patients were randomly divide