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- Title
Clear temporal corneal incision versus superior in cataract surgery: comparison corneal sensitive of nerve fibers.
- Authors
PESCE, G; MACINAGROSSA, G; MINERVA, G; CANTATORE, A; MONTRONE, L; DE BELLIS, A; DI GESU, I; MONTRONE, F; RICCHETTI, R
- Abstract
Purpose Purpose of this study was to observe the differences of corneal sensitive innervation with temporal or superior incision in cataract surgery. Most of the sensory nerve fibers are distributed in the cornea in the nasal and temporal regions; this one is the most frequent point of access for phacoemulsification cataract. Methods were observed 30 patients operated on for bilateral cataracts, aged between 50 and 75 years, both male and female.All patients had no other eye disease, had undergone previous surgery or presented with diabetes or hypertension.The operation was cataract phacoemulsification with implantation of intraocular lens.All patients were performed by an evaluation of the cornea with " ConfoScan 3 Nidek" to analyze the innervation before and after surgery for cataract in different locations. Results Results we have at the moment tell us that the superior incision is less harmful for corneal sensitive nerve fibers. This result involves that patients have less ocular discomfort and pain in successive months. Conclusion This kind of surgery would be ideal to avoid a long and painful course to the patients, although this surgery approach is more difficult.
- Subjects
PHACOEMULSIFICATION; CATARACT surgery; NERVE fibers; CORNEA; SURGICAL site; EYE pain
- Publication
Acta Ophthalmologica (1755375X), 2010, Vol 88, p0
- ISSN
1755-375X
- Publication type
Article
- DOI
10.1111/j.1755-3768.2010.327.x