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Clear corneal cataract surgery had few postop complications in large case series

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A surgical group that has been performing topical clear corneal cataract surgery for more than 9 years found “few postoperative complications” in a review of a large number of cases.

Monica L. Monica, MD, PhD, and Daniel A. Long, MD, of New Orleans, retrospectively analyzed results from 3,500 consecutive clear corneal cataract surgeries performed using topical anesthesia from 1994 to 2003. All patients underwent phacoemulsification through a temporal 3-mm-by-2-mm clear corneal incision.

All cases were completed safely, the authors said. They identified 56 cases (1.6%) that required a suture because of wound leakage before completion of the surgery. No cases had to be returned to surgery for suture placement. Six cases (0.17%) had retinal detachments within the 30-day postoperative period. No endophthalmitis or corneal decompensation were noted.

The study is published in the June issue of Ophthalmology.