Sutureless ECCE with foldable IOL using the kongsap techique.

Abstract

Purpose : To evaluate the outcomes of the small incision cataract surgery with foldable intraocular lens implantation using the Kongsap technique.

Method : In a retrospective study, 40 eyes of 40 patients had undergone cataract surgery using the Kongsap technique. After capsulorhexis and hydrodissection were performed, the endonucleus was prolapsed into anterior chamber and trisected using a nuclear supporter and a Sinskey hook. Pieces were extracted with the same instruments through a small incision. After the cortical debris was aspirated,
the foldable IOL was placed into the capsular bag and the wound was closed with no suture. The visual acuity, intraoperative and postoperative complications were recorded.

Results : This technique was successfully performed in 40 eyes. There was no intraoperative complication, including capsule break, zonular dialysis, vitreuos loss,suprachoroidal hemorrhage. The significant postoperative complication was transient corneal edema located at the corneal wound, which developed in 7 eyes (17.5 percent). No other significant complications were noted during the 3 - months follow up period. Postoperatively, best corrected visual acuity of 20/40 or better was achieved in 34 eyes (85 percent), 35 eyes (87.5 percent),and 35 eyes (87.5 percent) at the end of the first postoperative week, 4 weeks, and 3 months, respectively.

Conclusion : Cataract surgery using the Kongsap technique provides self-sealing incision, rapid visual recovery and low complication. It can be use as alternative to phacoemulsification in the developing countries.