scholarly journals A Clinical Study Comparing Different Techniques of Nucleus Delivery in Manual Small Incision Cataract Surgery

2015 ◽  
Vol 2 (2) ◽  
pp. 67
Author(s):  
Mrunal Suresh Patil ◽  
Dhiraj Namdeo Balwir ◽  
Amal Gupta ◽  
Ishan Kataria ◽  
Sumit Chatterjee
Keyword(s):  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Posterior Chamber ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Group 2 ◽  
Grade 3 ◽  
Posterior Chamber Iol ◽  
Group 1

<strong>Aim</strong>: To compare different technique of nucleus delivery in small manual incision cataract surgery,regarding their safety and intra operative complication. <strong>Material &amp; Methods</strong>: A total of 285 patients with cataract undergoing SICS with posterior chamber IOL implantation were selected. Patients were randomly divided into 7 groups of nucleus delivery. All of the patients were followed up on first postoperative day and discharge. Patients were advised regular follow up at 1<sup>st</sup> week, 4<sup>th</sup> week and 6<sup>th</sup> week. <strong>Results</strong>: Out of total 285 patients 68 (23.86%) patients had intraoprative complications for all the techniques. There was no intraoperative difficulty to the surgeon for delivery of nucleus by various techniques in 210(73.68%) of cases. Group 1 (wire vectis) had minimum intraoperative complications whereas group 2 had maximum.31 (10.88%)had grade 1 (minimal) difficulty intraoperetively. 25 (8.77%)cases had grade 2 (moderate) difficulty. 19 (6.67) cases had grade 3(abandoned) difficulty. <strong>Conclusion</strong>: By adjusting parameters like size of cornean incision, hydrodissection or debulking of nucleus before delivery of nucleus in different grades of hardness of cataract, a surgeon may choose any one technique in which he or she is comfortable. Manual small incision Cataract surgery with its low complication rate has now come to be established surgical procedures for cataract surgery.

scholarly journals Sub-conjunctival dislocation of posterior chamber intra-ocular lens: five years after manual, small-incision cataract surgery

2014 ◽  
Vol 6 (1) ◽  
pp. 91-94
Author(s):  
Rajesh Subhash Joshi
Keyword(s):  
Cataract Surgery ◽  
Wound Closure ◽  
Wound Dehiscence ◽  
Posterior Chamber ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Corrected Visual Acuity ◽  
Scleral Tunnel ◽  
Posterior Chamber Intraocular Lens

Introduction: Ocular trauma can cause serious complications in eyes operated for cataract. Case: A 70-year- old lady had sustained blunt trauma to the left lower lid which resulted in a sub-conjunctival dislocation of the posterior chamber intraocular lens (PCIOL). The patient had undergone an uneventful manual, small-incision, sutureless cataract surgery with implantation of a PCIOL for senile cataract five years ago in the same eye. She had no ocular or systemic predisposing factors for wound dehiscence. Surgical exploration revealed a scleral rupture 7 mm in length, 2 mm behind the limbus at the 12’O clock position along the surgically-constructed wound. However, the scleral tunnel was not damaged. The PCIOL was removed. Wound closure was done to avoid infection of the intraocular structures. Her best-corrected visual acuity was 20/60 at the three months’ follow-up. Conclusion: Surgeons should be aware of such complications occurring due to trauma. We recommend suturing of the scleral wound to strengthen it in cases of a deep scleral groove or when there is a possibility of a premature entry of the wound into the anterior chamber. DOI: http://dx.doi.org/10.3126/nepjoph.v6i1.10777   Nepal J Ophthalmol 2014; 6 (2): 91-94

scholarly journals Study of Intraoperative Complications in Small Incision Cataract Surgery, its Management and Visual Outcome

2016 ◽  
Vol 3 (1) ◽  
pp. 52 ◽  
Author(s):  
Mrunal Suresh Patil ◽  
Dhiraj Namdeo Balwir ◽  
Sonal Dua
Keyword(s):  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Visual Outcome ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Corrected Visual Acuity ◽  
Study Results ◽  
The Common ◽  
Iris Prolapse

Aims: To study the intraoperative complications in small incision cataract surgery and its management and to study the visual outcome following the management of intraoperative complications. Material and Methods: A total of 250 cases studied from who underwent SICS. Intraoperative complications were studied and managed. Visual outcome following these complications were studied by noting the best corrected visual acuity after day 1, 1<sup>st</sup> week, 3<sup>rd</sup> week, 6<sup>th</sup> week following surgery. Results: The total intraoperative complications were seen in 22 (8.8%) patients. Posterior capsule rent was seen in 6 eyes (2.4%). Iris prolapse in 5 eyes (2%). Descemet detachment was seen in 3 eyes (1.2%). Premature entry was seen in 3 eyes (1.2%). Capsulorrhexis extension was seen in 2 eyes (0.8%). Zonular dialysis was seen in 2 eyes (0.8%). Superior iridodialysis was seen in only one eye (0.4%). Out of 250 cases, 246 came for follow up till 6th week. 214 (85.6%) patients had post operative BCVA 6/6 at the end of 6<sup>th</sup> week, 25(10%) patients had 6/9, 5 patients (2%) had 6/12-6/18 and remaining 2 patients (0.8%) had 6/24-6/36 BCVA. Conclusion: The study results shows that in high quality cataract surgery (91.2% without intraoperative complications) 99% BCVA 6/18 or better can be attained. In our study incidence of intraoperative complications was 8.8% in which posterior capsular rent and iris prolapse were the common intraoperative complications.

scholarly journals COMPARATIVE EVALUATION OF MACULAR THICKNESS AFTER PHACOEMULSIFICATION VERSUS MANUAL SICS IN DIABETIC PATIENTS BY OPTICAL COHERENCE TOMOGRAPHY

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Mamta Singh ◽  
Bibhuti Prassan Sinha
Keyword(s):  
Cataract Surgery ◽  
Macular Thickness ◽  
Diabetic Patients ◽  
Small Incision Cataract Surgery ◽  
Significant Difference ◽  
Before And After ◽  
Spss Software ◽  
Group 2 ◽  
Group 1

Purpose: The main purpose of this study was to compare the macular thickness after uncomplicated Phacoemulsification versus manual SICS in known diabetic patient by OCT. Methods: This study was prospective observational study involving 50 eyes of 50 patients with each arm having 25 patients.  Group 1 was operated with Phacoemulsification with foldable IOL through 2.2 mm incision & group 2 were operated with manual SICS through 5.5 to 6.5 mm incision with PMMA IOL implantation. Macular OCT was performed in all patients during preoperative period & day 7 post op, 1st month, 3rd month & 6th month. The data were analyzed by using SPSS software (version22.0 SPSS Inc). Results: The MCFT rose steadily in both group during post operative period with higher rise noted in SICS group throughout follow up. Significant difference in MCFT between Phaco & SICS group were noted with highest MCFT noted in 1st month follow up in both groups i.e.  231.6 micro m (SD+7.831) in Phaco group & 241.08 (SD+7.35) in SICS group. The MCFT returned to near pre OP value by 6th month. Conclusion: 1 Age & Sex has no effect on macular thickness before and after any type of Cataract surgery be it Phaco or SICS. 2 Significant higher macular thickness was observed in SICS group so       caution should be taken in SICS patients. Keywords: Phacoemulsification, small incision cataract surgery (SICS), Cystoid macular edema

scholarly journals COMPARISON OF POST OPERATIVE CORNEALASTIGMATISM FOLLOWING FROWN VERSUS CHEVRON INCISION IN MANUAL SMALL INCISION CATARACT SURGERY

2020 ◽  
pp. 1-3
Author(s):  
Vabita Bhagat ◽  
Anu Radha Bharti* ◽  
Dinesh Gupta
Keyword(s):  
Cataract Surgery ◽  
Small Incision Cataract Surgery ◽  
Medical College ◽  
Small Incision ◽  
Age Related ◽  
Induced Astigmatism ◽  
The Difference ◽  
Group 2 ◽  
Chevron Incision ◽  
Group 1

Introduction: To study the comparison of post operative corneal astigmatism following frown versus chevron incision in manual small incison in manual small incision cataract surgery. Material and Methods:The study was conducted at govt. medical college jammu over a period of one year. The study includes a total of 100 pts. With age related cataract and were divided into two groups of 50 each. Detailed ocular examination of the cases with calculation of preoperative astigmatism were carried out in eye OPD. Results: st rd th th st All cases were assessed postoperatively at 1 , 3 , 6 and 12 week for surgical induced astigmatism .At the end of 1 week surgical induced astigmatism of more than 1D was seen in 72% pts. of group 1 with frown incision as compared to 48 % in group 2 with chevron incision. At the end of 12 weeks 54% of cases in group 1 with frown incision and only 8% in group 2 with chevron incision had astigmatism of more than 1 D. The difference between the two groups was statistically signicant. Conclusion: It is possible to reduce the amount of postoperative astigmatism signicantly by choosing the incision shape .Surgical induced astigmatism is less seen in patients with chevron incision as compared to patients with frown incision.

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 Comparative study between conventional extra capsular cataract extraction versus manual small incision cataract surgery

2017 ◽  
Vol 5 (3) ◽  
pp. 996 ◽  
Author(s):  
Gannaram Laxmiprasad ◽  
Chhaya Shori ◽  
Rakesh Shori ◽  
Ashalatha Alli
Keyword(s):  
Cataract Surgery ◽  
Tertiary Care ◽  
Posterior Chamber ◽  
Small Incision Cataract Surgery ◽  
Visual Rehabilitation ◽  
Surgically Induced Astigmatism ◽  
Small Incision ◽  
Significant Difference ◽  
Induced Astigmatism ◽  
Surgically Induced

Background: Recent reports indicate that both manual small incision cataract surgery and extra capsular cataract excision surgery with posterior chamber intraocular lens implantation are safe and effective for treatment of cataract surgery, however, manual small incision cataract surgery gives better uncorrected vision. Objectives of the study were to compare intraoperative and postoperative complications, to compare induced astigmatism and to compare the visual rehabilitation.Methods: This is a prospective study of 100 consecutive patients assigned to undergo conventional extra capsular cataract excision surgery (50 cases) and manual small incision cataract surgery (50 cases). Study was done for a period of two years at a tertiary care referral hospital. Institutional Ethics Committee permission was taken. Also the informed consent was obtained from each patient.Results: In conventional ECCE, the most common surgically induced astigmatism was WTR in 73.4% of cases with mean of 2.79 D±1.3 on first day. 70% of cases with mean 2.1 D±1.28 and 64% of cases with mean of 1.86 D±1.14 at six weeks. ATR was common in MSICS group, 83.67% of cases with mean of 1.5 D±0.72 on first day, 86% of cases with mean of 1.03 D±0.6 at one week and 88% of cases with mean of 1.27 D±0.81 at six weeks. The induced astigmatism was less in MSICS group compared to ECCE group at first day but after six weeks there was no much significant difference found. Early visual recovery was better in MSICS groupConclusions: MSICS has definitive advantages over conventional ECCE in terms of early visual rehabilitation, minimal surgically induced astigmatism; no suture related complications and reduced surgical time.

scholarly journals Comparison of the Outcomes of Manual Small Incision Cataract Surgery (MSICS) and Phacoemulsification (PHACO) in Ghana

2021 ◽  
Vol 18 (3) ◽  
pp. 143-149
Author(s):  
Samuel Kyei ◽  
Ebenezer Zaabaar ◽  
Frank Assiamah ◽  
Michael Agyemang Kwarteng ◽  
Kofi Asiedu
Keyword(s):  
Visual Acuity ◽  
Postoperative Complications ◽  
Cataract Surgery ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Small Incision Cataract Surgery ◽  
Cross Sectional ◽  
Small Incision ◽  
Uncorrected Visual Acuity

Background: The growing middle-class population of Ghana has seen more people being employed in visually demanding occupations  and hence there is an increased desire for quality post-cataract surgical visual outcomes. This study aimed at comparing the outcomes of manual small incision cataract surgery (MSICS) and phacoemulsification (PHACO) among Ghanaians. Methods: This was a retrospective cross-sectional study in which records of patients who underwent MSCIS or phacoemulsification by the same surgeon were reviewed. Results: Medical records of 248 eyes were reviewed, out of which 132 underwent PHACO and 116 had MSICS. A significant number of the  PHACO group had good (6/6–6/18) uncorrected visual acuity (UCVA) compared to the MSICS group at 1–2 weeks follow-up (p = 0.003) and 4–6 weeks follow-up (p = 0.002). MSICS resulted in a higher total astigmatic change compared to PHACO (p < 0.001). The PHACO grouphad a higher number of postoperative complications compared with the MSICS group (p <0.001). Postoperative borderline and poor  uncorrected visual acuity were associated with age, total astigmatic change, and postoperative complications. Conclusion: The postoperative UCVA outcomes at 4–6 weeks’ follow-up indicates that PHACO resulted in noticeably less spectacle dependency when compared to MSICS.

scholarly journals Visual outcome of conventional extracapsular cataract extraction with posterior chamber intraocular lens implantation versus manual small-incision cataract surgery

1970 ◽  
Vol 1 (1) ◽  
pp. 13-19 ◽  
Author(s):  
A Gurung ◽  
DB Karki ◽  
S Shrestha ◽  
AP Rijal
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Postoperative Period ◽  
Cataract Extraction ◽  
Posterior Chamber ◽  
P Value ◽  
Extracapsular Cataract Extraction ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Posterior Chamber Intraocular Lens

Background: An effective method for cataract surgery should be identified to combat cataract blindness. Aim: To study the surgical outcome of conventional extracapsular cataract extraction versus manual small-incision cataract surgery. Materials and methods: A randomized clinical trial was carried out including one hundred eyes (88 patients) which were divided into two groups using systematic randomization: groups of conventional extracapsular cataract extraction with posterior chamber intraocular lens (ECCE with PCIOL) implantation and manual small-incision cataract surgery (MSICS). The postoperative parameters/variables studied were the unaided and best-corrected visual acuity and astigmatism. Statistics: Epi info 2000 version statistical software was used for data analysis and calculation of relative risk, 95% CI and p value. The p value of less than 0.05 was considered as significant. Results: In the immediate postoperative period, unaided visual acuity of =/> 6/18 was achieved in 24 subjects in MSICS group versus 7 in ECCE with PCIOL group (RR=2.05, 95% CI=1.44 - 2.94, p = 0.0002), whereas the same at 6 - 8 weeks postoperatively was found in 28 and 22 subjects in those groups respectively (RR=1.27, 95% CI=0.86-1.89, p=0.23). The astigmatism of =/> 2 at 6 - 8 weeks was found in 35 and 17 subjects from the conventional and MSICS groups respectively ( R=2.28, 95% CI = 1.39-3.73, p=0.0002). Conclusion: Both MSICS and conventional ECCE with PCIOL are safe and effective techniques for treatment of cataract patients. A more rapid recovery of good vision can be achieved with MSICS than with conventional ECCE with PCIOL in the immediate postoperative period. Key words: ECCE; MSICS; visual acuity; astigmatism DOI: 10.3126/nepjoph.v1i1.3668 Nep J Oph 2009;1(1):13-19

scholarly journals Sumbawanga Augencamp follow-up Studie 2019

2019 ◽  
Vol 117 (7) ◽  
pp. 671-676
Author(s):  
S. Irle ◽  
E. Msigomba ◽  
K. Paust
Keyword(s):  
Cataract Surgery ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Therapeutische Möglichkeiten

Zusammenfassung Hintergrund Im Jahr 2019 hat das deutsche Komitee zur Verhütung von Blindheit (DKVB) ein Augencamp in der tansanischen Stadt Sumbawanga durchgeführt. Bei Patienten mit maturer Katarakt und intakter Lichtscheinwahrnehmung wurden Katarakte als „manual small incision cataract surgery“ (MSICS) operiert. Erstmalig wurde bei diesem Camp die Ergebnisqualität der durchgeführten Kataraktoperationen gemessen. Ziel der Arbeit Ziel war es, die Qualität der durchgeführten Kataraktoperationen darzustellen und die Ergebnisse in Zusammenhang mit den Vorgaben der Weltgesundheitsorganisation (WHO) zu bewerten. Methoden Patienten, die in den ersten Tagen des Augencamps kataraktoperiert worden waren, wurden in der zweiten Woche im Hinblick auf die Parameter Visus, Refraktion, spaltlampenmikroskopischer Befund und Komplikationen nachuntersucht, die Daten retrospektiv ausgewertet. Die Ergebnisse wurden mit den Vorgaben der WHO verglichen. Ergebnisse Es konnten 42 Patienten des Augencamps nach 5 bis 9 Tagen nachuntersucht werden. Folgende Parameter wurden gefunden: mittlere postoperative Sehschärfe 0,26, sphärisches Äquivalent −2,82 dpt, Astigmatismus −2,2 dpt/113 Grad; Visus >0,3 in 14,2% (WHO 80%), Visus 0,1–0,3 62% (WHO 15%), Visus <0,1 in 23,8% (WHO 5%); verzögerter Heilungsverlauf in 29% der Fälle. Schlussfolgerung Obwohl es zu einer Besserung des Sehvermögens kam, sind die Ergebnisse ernüchternd im Vergleich zu den Vorgaben der WHO. Postoperativ zeigen sich ein myoper Shift und ein Astigmatismus gegen die Regel. Die Gründe sind: okuläre Komorbiditäten, eingeschränkte diagnostische und therapeutische Möglichkeiten, Ausbildungscharakter des Camps, erschwerte Rahmenbedingungen und fortgeschrittene Befunde. Die Ergebnisse der Studie sind wichtig, um die Qualität der eigenen Arbeit einschätzen zu können und um das Potenzial für künftige Verbesserungen ausloten zu können.

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