Sutureless large incision cataract extraction: indications and results from two teaching hospital eye departments in the United Kingdom

ABSTRACT

To highlight the role of Sutureless Large Incision Cataract Extraction [SLICE] in the United Kingdom for the treatment of cataracts at high risk for intra- or postoperative complications. Two University Hospitals in the United Kingdom. Retrospective case note review of planned SLICE performed over a 12-month period. SLICE was performed on 11 eyes of 11 patients [mean age, 79 years] having preoperative vision of hand motions [10 eyes] with very dense or mobile cataracts and high risk for phacoemulsification. Mean follow up was 12 weeks, with no operative or postoperative complications. Nine patients [without ocular or systemic comorbidity] achieved best corrected vision of 0.3 LogMAR [20/40] or better. SLICE is safe and effective for dense or mobile cataracts and can play a role in patients where conventional phacoemulsification carries higher risks of complications