Manual Sutureless Cataract Surgery with Foldable Intraocular Lens Using the Kongsap Technique: The Results of 95 Cases(cid:31)
Pipat Kongsap MD*
Affiliation : (cid:31) Presented in part at the 21th Congress of the Asia-Pacific Academy of Ophthalmology, Singapore, June 13, 2006 * Department of Ophthalmology, Prapokklao Hospital, Chanthaburi
Objective : To evaluate the visual outcome and complications of the small incision cataract surgery with
foldable intraocular lens implantation using the Kongsap technique.
Study
Design : Prospective, non-comparative study.
Materials and Methods : This prospective study was conducted at Prapokklao Hospital, Chanthaburi between
December 2005 and May 2006. The ninety-five eyes of 95 patients underwent cataract surgery using the
Kongsap technique. The best-corrected visual acuity, intra-operative and post operative complications, and
the corneal endothelial cell loss were then evaluated. Follow-up visits were scheduled at one week, one
month, three months, and six months.
Results : Best corrected visual acuity(BCVA) was 20/40 or better in 83 eyes (87.37%) at one week postopera-
tively, in 86 eyes (90.53%) at one month, in 87 eyes (91.58%) at 3 months, and in 85 eyes (89.48%) at 6
months. The most common intra-operative complication was iris prolapse (7.37%). Other intra-operative
complications were posterior capsule rupture (2.11%), transient intracameral bleeding (2.11%), and
capsulorhexis tear (2.11%). The most significant post operative complication was transient corneal edema
located at the corneal wound, which developed in seven eyes (7.37%). No other significant complications
were noted during the six- month follow up period. Mean endothelial cell loss was 5.3% at one month and
7.1% at three months post operatively.
Conclusion : Manual sutureless cataract surgery with foldable intraocular lens using the Kongsap technique
when performed by an experienced surgeon was a safe procedure with good visual recovery and no need for
a phaco machine.
Keywords : Cataract surgery, Manual cataract surgery, Visual acuity, Complication, Intraocular lens
