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

Abstract

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