AIM: To evaluate two-hook technique in manual sutureless extracapsular cataract extraction under special position.

METHODS: The clinical data of 25 patients(30 eyes)who were under semireclining position in manual small incision cataract surgery(ECCE)in which the two-hook extraction technique was used, the related complications such as capsule rupture, corneal edema and visual acuity were statistically analyzed.

RESULTS: No eyes experienced posterior capsule rupture, suspensory ligament transaction, vitreous prolapse during surgeries in 25 patients(30 eyes). Posterior chamber intraocular lens were implanted successfully, the visual acuity was improved with different extent. Transient corneal edema was noted in 1 eye and disappeared at 1wk postoperatively. Eighty-five percent have the visual acuity(≥0.5)at 2mo postoperatively.

CONCLUSION: The two-hook technique for nucleus extraction is safe and reliable, of high originality and can be applied in a wider range of indications other than normal cases. The technique is worthy of application in basic medical institutions.