scholarly journals Eleven Years of Cataract Surgery in Veterans Without Pre-existing Ocular Comorbidities

2019 ◽  
Vol 184 (7-8) ◽  
pp. e191-e195
Author(s):  
M Teresa Magone ◽  
Laura Kueny ◽  
Gemini A Singh ◽  
Katrina Chin Loy ◽  
Caroline H Kim ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Medical Center ◽  
Retrospective Chart Review ◽  
Ocular Disease ◽  
Veterans Health ◽  
Health Administration ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Institutional Review ◽  
Vitreous Loss

Abstract Introduction In 2017, over 75,000 cataract surgeries were performed within the Veterans Health Administration System (VHA). Previous reports of outcomes of cataract surgery in veterans include patients with pre-existing ocular disease, which can affect vision. To exclude the confounding factor of pre-existing ocular comorbidities, we investigated the long-term visual outcomes and complications associated with small incision cataract surgery performed on veterans without any pre-existing eye disease. Materials and Methods Institutional Review Board approved cohort study with detailed retrospective chart review of all phacoemulsification (small incision) cataract surgeries performed at the Veterans Affairs Medical Center in Washington D.C. over 11 years, including all pre-and postoperative visits until postoperative month 12. Results A total of 1,513 consecutive surgical cases without any pre-existing ocular disease except the cataract were included. Vision improved significantly after cataract surgery compared to the preoperative best-corrected visual acuity (BCVA) (p = 0.0001) and remained stable over the first intra- and postoperative year. All eyes without complicated surgery and 99.1% of eyes with complications achieved 20/40 or better final vision postoperatively. The most common intra-and postoperative complications were vitreous loss (3.1%) and cystoid macular edema (CME; 1.4%). Patients with complications achieved final mean BCVA of 0.04 (20/22, vitreous loss) and 0.06 (20/23, CME) mean logMAR (Snellen). Conclusion Analysis of 11 years of small incision cataract surgery in eyes without pre-existing ocular disease within the VHA showed significant improvement in vision and stability 12 months after uncomplicated and complicated surgery in veterans.

Outcomes of high volume cataract surgeries at a Lions Sight First Eye Hospital in Kenya

1970 ◽  
Vol 3 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Jyotee Trivedy
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Corneal Edema ◽  
High Volume ◽  
Posterior Capsule ◽  
Posterior Capsular Opacification ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Vitreous Loss ◽  
Posterior Capsule Tear

Background: High volume cataract surgery is practised in many eye centres. Objective: To investigate whether routine high volume cataract surgery can be performed without compromising the quality of surgery. Materials and methods: A retrospective interventional study was carried out at a high volume eye care centre including 368 subjects with cataract operated within 5 randomly selected theatres. Suture-less manual small incision cataract surgery (SICS) with PCIOL was performed in all except nine cases. Results: Of the total, 81.8 % of the patients achieved post-operative uncorrected visual acuity (UCVA) of 6/18 and better by the 4th week. Only 0.3 % had a posterior capsule tear without vitreous loss, 0.5 % posterior capsule tear with vitreous loss and 0.8 % had hyphema. Post-operative examination done at the camp site after Day 30 did not reveal anterior segment complications in any of the patients. Fifteen patients were found to have posterior capsular opacification and had the UCVA between 6/24 – 6/60. Only 12.9 % of the patients had first post operative day complications, which included transient corneal oedema (3.0 %) with less than 10 Descemet folds, transient corneal edema with > 10 Descemet folds (3.6 %), transient corneal edema (4.3 %), shallow anterior chamber (0.3 %) and others like iritis and peaked pupil. Multiple logistic regression analysis showed no significant association between risk factors like age, sex, laterality, pre-operative visual acuity, surgeon, time of surgery and post-operative UCVA. Conclusion: The study results show that high quality cataract surgery can be attained in a high volume setting. Key words: small-incision cataract surgery; surgical outcome; blindness DOI: 10.3126/nepjoph.v3i1.4276Nepal J Ophthalmol 2011;3(5):31-38

Safety and Efficacy of Temporal Manual Small Incision Cataract Surgery in India

2011 ◽  
Vol 21 (6) ◽  
pp. 748-753 ◽  
Author(s):  
Swati V. Zawar ◽  
Parikshit Gogate
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Corneal Edema ◽  
Posterior Chamber ◽  
Small Incision Cataract Surgery ◽  
Safety And Efficacy ◽  
Excellent Outcome ◽  
Sutureless Technique ◽  
Small Incision ◽  
Sandwich Method

Purpose. To assess safety and efficacy of temporal manual small incision cataract surgery (SICS) in context to visual outcome, astigmatism, and complications. Methods. This involved sclerocorneal tunnel, capsulotomy and hydrodissection. The incision was made with number 11 disposable surgical blade (costing Indian Rs. 2.50, $0.05). Nucleus extraction was done by phaco-sandwich method with the help of vectis and dialer. Posterior chamber intraocular lens implantation was done according to biometric findings. A record of intraoperative and postoperative complications was made. The final postoperative assessment of astigmatism was done with spectacle correction on the 45th day as per the refraction findings. Results. Two thousand eyes were operated by temporal, manual small incision sutureless technique. Uncorrected visual acuity was ≥6/18 in 1636 (81.7%) patients on the first postoperative day, in 1652 (82.6%) patients at 2 weeks, and in 1732 (88.6%) patients at 6 weeks. Best-corrected visual acuity (BCVA) ≥6/18 was achieved in 1868 (93.4%) patients at 6 weeks, with 46 (2.3%) having BCVA <6/60, 24 (1.2%) of whom had preexisting retinal pathology. At 6 weeks, 1876 (93.8%) eyes had with-the-rule and 134 (6.2%) against-the-rule astigmatism (mean 0.7±1.25 D). Iris prolapse was noted in 3 (0.15%), wound leak in 3 (0.15%), and transient corneal edema in 136 (6.8%) eyes. Average surgery time was 6 minutes. Conclusions. Temporal SICS with number 11 disposable surgical blade and nucleus delivery by phaco-sandwich method gave excellent outcome with minimal astigmatism and low complication rate at economic cost.

scholarly journals Assessment of corneal astigmatism following frown and straight incision forms in sutureless manual small incision cataract surgery

2016 ◽  
pp. 47 ◽  
Author(s):  
Eugene Appenteng Osae ◽  
Angela Ofeibea Amedo ◽  
Kwadwo Amoah ◽  
Nana Yaa Koomson ◽  
David Kumah
Keyword(s):  
Cataract Surgery ◽  
Corneal Astigmatism ◽  
Small Incision Cataract Surgery ◽  
Small Incision

scholarly journals To stop or to continue aspirin prior to manual small incision cataract surgery

2021 ◽  
Vol 7 (2) ◽  
pp. 419-421
Author(s):  
Madhuri P ◽  
Pooja H V ◽  
H T Venkate Gowda
Keyword(s):  
Observational Study ◽  
Cataract Surgery ◽  
Cardiac Disease ◽  
Bleeding Complication ◽  
Prospective Observational Study ◽  
Descriptive Statistics ◽  
Thromboembolic Events ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Operative Outcomes

To ascertain whether to stop or continue aspirin before cataract surgery. Prospective observational study from July 2018 to June 2019. Information on pre-existing medical conditions like cardiac disease/stroke & use of Aspirin was obtained from patients posted for cataract surgery. Physical examination was done by physician & decided whether aspirin has to be stopped before surgery. Intra-operative and post-operative outcomes were recorded. SPSS 20.0 by using descriptive statistics i.e. only frequency and percentage. Out of 64 patients, 38 discontinued aspirin and 26 continued. In the group of patients who discontinued aspirin, 2 had bleeding complication in the form of bleeding from cut ends of conjunctiva. Where as in the group who continued aspirin 4 patients had bleeding complication. No thromboembolic events were recorded in both the groups. The risk of medical & ophthalmic events surrounding cataract surgery were so low that absolute differences in risk associated with changes in Aspirin use were minimal.

scholarly journals Comparative study of optical coherence tomographic analysis of macula in preoperative and postoperative diabetic patients undergoing small incision cataract surgery

2021 ◽  
Vol 7 (2) ◽  
pp. 352-357
Author(s):  
Shruthi Marati ◽  
Vallabha K
Keyword(s):  
Diabetic Retinopathy ◽  
Cataract Surgery ◽  
Macular Edema ◽  
Macular Thickness ◽  
Diabetic Patients ◽  
Optical Coherence ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Spectral Domain Oct ◽  
Quantitative Changes

The clinical evaluation of macular edema has been difficult to characterize, but evaluation has become more precise with the help of optical coherence tomography (OCT). This study is undertaken to evaluate the quantitative changes in macular thickness using spectral domain OCT in diabetic patients undergoing cataract surgery pre and post operatively and its relation with diabetic retinopathy (DR). Study participants included 65 diabetic patients irrespective of presence or absence of retinopathy who underwent cataract surgery. Each eye underwent fundus examination with indirect ophthalmoscopy and OCT of macula i.e.,preoperatively and at postoperatively at day 1, 1 week, 4 weeks and at 12 weeks. Best-corrected visual acuity (BCVA) was recorded at each visit. The central subfield macular thickness (CSMT) increased in all patients irrespective of presence or absence of diabetic retinopathy of about 17.4±25.3µm and 29µm±38.8 at 1 month and 3 month follow up. There was a statistically significant increase seen in CSMT after cataract surgery especially in patients with preoperatively diagnosed macular edema. Associated retinopathy also acts as a risk factor. But there was no statistically significant increase in mild and moderate NPDR preoperatively and also in postoperative period after uncomplicated small incision cataract surgery.

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