ESCRS - P049 - PARTIAL VERSUS FULL THICKNESS LIMBAL RELAXING INCISIONS DURING PHACOEMULSIFICATION FOR TREATMENT OF WITH-THE-RULE ASTIGMATISM IN SENILE CATARACT

PARTIAL VERSUS FULL THICKNESS LIMBAL RELAXING INCISIONS DURING PHACOEMULSIFICATION FOR TREATMENT OF WITH-THE-RULE ASTIGMATISM IN SENILE CATARACT

Published 2023 - 27th ESCRS Winter Meeting

Reference: P049 | Type: Free Paper Submission | DOI: 10.82333/7s8f-qj86

Authors: Nader Nassiri* 1 , Kourosh Sheibani 2 , Saman Nassiri 3 , Sara Kavousnezhad 4

1Imam Hossein Medical Center,Tehran,Iran, Islamic Republic Of, 2Basir Eye Health Research Center,Tehran,Iran, Islamic Republic Of, 3Ophthalmology, Stanford University School of Medicine,Stanford,United States, 4Vanak Eye Surgery Center,Tehran,Iran, Islamic Republic Of

Purpose

 
To compare the use of partial thickness and full thickness limbal relaxing incisions (LRI) during phacoemulsification for treatment of with-the-rule astigmatism in senile cataract patients.

 

Setting

Vanak Eye Surgery Center, Tehran, Iran.

Methods

 
In this prospective randomized controlled trial, 88 older than 65 years patients with by the rule astigmatism cylinder of over 1.25 were randomly divided and either received two partial thickness or one partial thickness and one full thickness corneal incision in limbus area to correct their astigmatism.

 

Results

 
One month postoperatively the mean BCVA (P=0.12) and UCVA (P=0.011) correction was higher in the partial thickness group but this difference was not significant at six months. There was no significant difference between the two groups regarding spectacle independence, photophobia, foreign body sensation and patient satisfaction.

 

Conclusion

 
Since a full thickness LRI might lead to complications (leakage, endophthalmitis) in rare cases and does not result in better astigmatism correction it is suggested that partial thickness LRI should be considered as the preferred method.