Corneal Incision Configuration Using Anterior Segment Optical Coherence Topography

To detect the changes in corneal incisions after  phacoemulsification using anterior segment-OCT imaging.

Alrowad center for Ocular investigations, Sohag, Egypt

The study included 85 eyes of 70 patients who underwent uneventful phacoemulsification. Anterior segment-OCT was done at 1st , 3rd and 9th month postoperatively. Evaluation of the main and side port incisions was done. The outcomes included configuration, site, length, denisty of scarring, regularity, coaptation, epithelial and endothelial surface evaluation.

All changes in corneal incisions apart from site and length showed significant changes at 3rd month compared to the 1st month, and were stable at 9th month. The main corneal incision length was +/-2.7 mm, width was +/-1.95 mm, site was 105 (range 90-120). Biplanar wound congiguration was detected in 68% of cases. Localized and limited Decement membrane detachment was found at the main incision in 18% of cases and at one or two side ports in 7.5% of cases.

Anterior-segment OCT is an invaluable and non-invasive method for assessment of corneal incision healing and configuration after phacoemulsification.