purpose: to compare clear corneal incision and scleral tunnel incision in terms of intraocular pressure (iop), post-operative inflammation, induced astigmatism, and corneal edema in phacoemulcification. methods: this non-controlled clinical trial was conducted on 78 eyes with senile cataract. a clear corneal incision was made in 40 eyes and a scleral tunnel incision was made in 38 eyes. all eye...

INTRODUCTION Trabeculectomy is a commonly used surgical treatment for glaucoma. PURPOSE To evaluate the effectiveness of combination of permanent and releasable scleral flap sutures to minimize the immediate postoperative complications of trabeculectomy. MATERIALS AND METHODS This study was carried out in Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan, Nepal. ...

Dear Editor, Cho et al. [1] described the “Sutureless intrascleral pocket technique of transscleral fixation of intraocular lens in previous vitrectomized eyes’’ in April issue. The authors prepare two scleral pockets with a crescent knife 2 mm from the limbus and opposed 180 degree each other without any conjunctival dissection. Following, they enter into the posterior chamber with a 26-gauge ...

PURPOSE To determine the effects of mitomycin C (MMC) on the expression of chymase and mast cells in the conjunctival scar after trabeculectomy. METHODS Ten eyes of five monkeys were used. Three eyes underwent trabeculectomy with MMC (MMC-treated), four eyes had trabeculectomy without MMC (placebo-treated), and three eyes served as control eyes. Intraocular pressure was measured before and th...

purpose: to compare the short and long-term efficacy and complications of releasable suture vs conventional interrupted suture for scleral flap in trabeculectomy. methods: in a prospective randomized clinical trial, 42 eyes of 42 consecutive patients requiring trabeculectomy for uncontrolled primary glaucoma underwent conventional trabeculectomy (group a) and trabeculectomy with releasable sutu...

INTRODUCTION In manual, tunnel-incision cataract surgery, nucleus extraction has remained a crucial issue and a challenge. It is also the period when serious complications easily occur, especially for beginners and when the nucleus is large and dense. OBJECTIVES To report a modified vectis technique for nucleus extraction in sutureless, manual, small-incision cataract surgery (MSICS) to impro...

Purpose: We compared the surgical outcomes and complications of conventional, sutured scleral fixation flanged intrascleral intraocular lens (IOL) fixation.Methods: retrospectively analyzed medical records patients who underwent or IOL were then observed for more than 6 months. The best-corrected visual acuity (BCVA), operation time, spherical equivalent (SEQ), astigmatism, postoperative record...

AIM The authors investigated the safety and intraocular pressure (IOP) lowering effectiveness of trabeculectomy augmented with mitomycin C application beneath the scleral flap, and assessed the influence of preoperative risk factors on the surgical outcome. METHODS A retrospective study of 72 consecutive high risk eyes undergoing trabeculectomy with adjunctive mitomycin C (0.2 mg/ml) applied ...

Single loop fixation of posterior chamber intraocular lens in the presence of partial capsular support is usually performed by creation of additional scleral flap or tunnel. This extra port may expose the suture holding the intraocular lens or the tucked-in lens haptics to the outside environment thereby increasing the risk of endophthalmitis. We describe a technique of single loop fixation whe...