IOL scaffolding technique in Hypermature/ Morgagnian cataract in Manual Small Incision Cataract Surgery

Abstract

Purpose: 

To describe surgical technique of IOL scaffolding in hypermature / Morgagnian cataract in manual small incision cataract surgery.

Setting: charitable section of the hospital through direct availed services at free /subsidised cost.

Design: 

Interventional study

Methods: 

This study included 38 eyes of 38 patients operated at charitable section of the hospital through direct availed services at free /subsidised cost.

Results: 

IOL scaffolding in manual small incision cataract surgery was executed in 38 patients out of which 25 patients were diagnosed as hypermature cataract, pseudoexfoliation syndrome with mature cataract in 5 patients, 5 patients had phacolytic glaucoma and 3 patients had lens induced uveitis. This technique was successful in 35 out of 38 patients and was not successful in three patients in whom traditional SICS was performed in 2 patients and retro haptic iris fixation in one patient

Conclusion: 

We describe a technique which uses IOL as a scaffold in hypermature cataract in MSICS that provides a stable barrier by stretching the capsular bag in order to prevent the crumpling of the bag or whole bag removal following nucleus delivery.