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Article
March 1995

Sutureless Cataract Surgery: An Evolution Toward Minimally Invasive Techniq

Author Affiliations

Fort Atkinson, Wis

Arch Ophthalmol. 1995;113(3):268-269. doi:10.1001/archopht.1995.01100030022013

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Abstract

This timely book is an excellent review of the current procedures and thought in the ever-increasing thrust toward immediate recovery after cataract surgery. Sutureless Cataract Surgery is a collection of experiences by several well-known ophthalmic surgeons who are pioneering the techniques to bring the patient closer to the goal of immediate, comfortable, and complete emmetropia following cataract surgery.

The first half of the book describes the development of the field of minimally invasive cataract surgery, emphasizing the substantial reduction in the induced cylinder and the increase in the percentage of patients with an uncorrected visual acuity of 20/40 or better shortly after phacoemulsification cataract removal with self-sealing wound design. While most contributing surgeons favor 3- to 4-mm incisions, Leroy Bloomberg, MD, describes his 7-mm self-sealing incision. Interestingly, he reports less surgically induced astigmatism than the other contributing surgeons, who uniformly indicate greater amounts of induced cylinder with larger self-sealing incisions.

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