Intraoperative complications of planned extracapsular cataract extraction versus manual nucleofragmentation

J Cataract Refract Surg. 1996 Oct;22(8):1113-5. doi: 10.1016/s0886-3350(96)80127-1.


Purpose: To compare the intraoperative complications of planned extracapsular cataract extraction (ECCE) with those of manual nucleofragmentation.

Setting: Hospital de la Esperanza, Universitat Autónoma de Barcelona, Spain.

Methods: This retrospective study comprised 567 eyes; 444 had planned ECCE and 123, manual nucleofragmentation through a scleral tunnel incision.

Results: No significant differences between techniques were found in terms of intraoperative complications (P < .05). Manual nucleofragmentation did not increase the risk of intraoperative complications (P < .05).

Conclusions: Although phacoemulsification is the procedure of choice in many cases, manual nucleofragmentation is a safe and valid alternative that achieves the goals of small incision cataract surgery.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Cataract Extraction / methods*
  • Female
  • Humans
  • Incidence
  • Intraoperative Complications* / epidemiology
  • Lens Nucleus, Crystalline / surgery*
  • Male
  • Regression Analysis
  • Retrospective Studies
  • Risk Factors