A COMPARATIVE PROSPECTIVE STUDY OF EFFICACY AND VISUAL OUTCOME OF PHACOEMULSIFICATION AND SICS IN NORTH INDIAN POPULATION IN AND AROUND LUCKNOW.

Visual Rehabilitation ◽

Induced Astigmatism ◽

Comparative Prospective Study ◽

Th 1 ◽

Better Than

PURPOSE: To evaluate efcacy and visual outcome of manual small incision cataract surgery (SICS) and phacoemulsication. METHODS: A prospective, interventional, observational, follow up study was conducted on 120 patients with clinically signicant senile cataract undergoing cataract surgery by either SICS or phacoemulsication, at a tertiary eye care centre in Lucknow. The follow up evaluations were carried out at post-operative day st rd th 1, 1 week, 3 week and 6 week. RESULTS: On rst postoperative day, there was signicantly better visual outcome with phacoemulsication than SICS (p = 0.005) with 80% patients in SICS group and 90% patients in phacoemulsication group, th had best corrected visual acuity (BCVA) better than equal to 6/18. However at 6 week, nal visual recovery was similar in both the groups (BCVA 6/18 in 96.7% in SICS group and 100% in phacoemulsication group) with no statistically signicant difference. There was no signicant difference in overall per operative and post operative complications between SICS and phacoemulsication. SICS and phacoemulsication did not show signicant difference in surgery induced astigmatism (SIA) with SIA of 0.733D and 0.775D in SICS and phacoemulsication group respectively. CONCLUSIONS: Phacoemulsication is superior to SICS in terms of early visual rehabilitation. But there is no signicant difference in nal visual outcome and complication rates between the two techniques.

OUTCOME OF SMALL-INCISION CATARACT SURGERY AND PHACOEMULSIFICATION IN TERM OF VISUAL ACUITY AND POST OPERATIVE ASTIGMATISM.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i4.213 ◽

2019 ◽

Vol 3 (4) ◽

Author(s):

Dr Rishi Gupta

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Tertiary Care ◽

Care Hospital ◽

Visual Rehabilitation ◽

Small Incision ◽

Uncorrected Visual Acuity ◽

Better Than

Objective: To compare the outcome of Small-incision cataract surgery and Phacoemulsification in term of visual acuity and post operative astigmatism Methods: A retrospective study carried out on 100 eyes of 100 patients from January 2017 to June 2017 at tertiary care hospital. All patients with senile cataract (up to grade IV) operated with SICS or Phacoemulsification were included. Records on all examinations including visual acuity, refraction, biometry, slit lamp biomicroscopy and fundoscopy from the period before surgery up to 6 weeks post-operatively were obtained. Result: The present study reports clinical outcomes of Small-incision cataract surgery and Phacoemulsification up to 6 weeks. Out of 50 patients 34 (68%) patients in the phacoemulsification group and 31 (62.%) of 50 patients in the small-incision group had uncorrected visual acuity better than or equal to 6/18 at 1 week. 41(82%) patients of the phacoemulsification group and 35 (70.%) patients of the small-incision group were better than or equal to 6/18 at the 6-week follow-up for presenting visual activity. Visual acuity improved to 6/18 with best correction in 49 patients (98 %) and 48 (96%) patients respectively. The mode of astigmatism was 0.5 diopters (D) for the phacoemulsification group and 1.5 D for the small-incision group, and the average astigmatism was 1.0 D and 1.3 D, respectively. Conclusions: Both the phacoemulsification and the small-incision techniques are safe and effective for visual rehabilitation of cataract patients, although phacoemulsification gives better uncorrected visual acuity and faster recovery

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

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20170650 ◽

2017 ◽

Vol 5 (3) ◽

pp. 996 ◽

Cited By ~ 1

Author(s):

Gannaram Laxmiprasad ◽

Chhaya Shori ◽

Rakesh Shori ◽

Ashalatha Alli

Keyword(s):

Cataract Surgery ◽

Tertiary Care ◽

Posterior Chamber ◽

Visual Rehabilitation ◽

Small Incision ◽

Significant Difference ◽

Induced Astigmatism ◽

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.

Evolution of cataract surgery: Smaller incision - less complications

Vojnosanitetski pregled ◽

10.2298/vsp1205385d ◽

2012 ◽

Vol 69 (5) ◽

pp. 385-388 ◽

Cited By ~ 3

Author(s):

Vladimir Draganic ◽

Miroslav Vukosavljevic ◽

Milorad Milivojevic ◽

Mirko Resan ◽

Nenad Petrovic

Keyword(s):

Cataract Surgery ◽

Surgical Techniques ◽

Visual Outcome ◽

Cataract Extraction ◽

Extracapsular Cataract Extraction ◽

Corneal Incision ◽

Visual Rehabilitation ◽

Operative Trauma ◽

Iol Implantation

Background/Aim. Cataract surgery has become one of the safest procedures in medicine thanks to advances in technology and surgical techniques. Although minimal, we still witness different complications. The aim of this study was to compare visual outcome and complication rate in different techniques of cataract surgery, ie in cataract surgeries with various corneal incision width. Methods. The study included 3,457 consecutive patients, ie 4,670 eyes that had undergone cataract surgery. The used surgical techniques were: extracapsular cataract extraction, phacoemulsification/ forceps IOL implantation, phacoemulsification/ injector IOL implantation, microincision cataract surgery (MICS). Patient follow up was 6 months. Patients were evaluated for: visual aquity, corneal astigmatism, cellular reaction in the anterior chamber, IOL position. Results. Uncorrected visual aquity 30 days postoperatively was ? 0.5 in 30% of the eyes - ECCE; 54.7% of the eyes - phacoemulsification/forceps IOL implantation; 63.0% of the eyes - phacoemulsification/injector IOL implantation; 5/8 of the eyes - MICS. Endophthalmitis was detected in 0.15% of the eyes - ECCE and 0.1% of the eyes - phacoemulsification/forceps IOL implantation. In eyes with phacoemulsification/injector IOL implantation or microincision cataract surgery (MICS) there were no cases of endophthalmitis. After a 6-month period intraocular lens were dislocated in 7.2% of the eyes - ECCE, and 0.6% of the eyes - phacoemulsification/PMMA IOL. There was no IOL dislocation in other surgical techniques. Conclusion. Shorter corneal incision implies less complications, less operative trauma, faster visual rehabilitation and better visual outcome.

Comparison of endothelial cell loss and complications between phacoemulsification and manual small incision cataract surgery (SICS) in uveitic cataract

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v7i2.14962 ◽

2016 ◽

Vol 7 (2) ◽

pp. 124-134

Author(s):

Rahul Bhargava ◽

Shiv Kumar Sharma ◽

Mini Chandra ◽

Prachi Kumar ◽

Yogesh Arora

Keyword(s):

Endothelial Cell ◽

Cataract Surgery ◽

Cell Loss ◽

Complication Rates ◽

Endothelial Cell Loss ◽

Small Incision ◽

Cell Counts ◽

Endothelial Cell Counts

Introduction: Endothelial cell loss and complications after cataract surgery may be higher when cataract is complicated by uveitis.Objective: To compare endothelial cell damage and complication rates after phacoemulsification and manual small incision cataract surgery (SICS) in patients with uveitis.Materials and methods: Patients with uveitic cataract were randomly allocated for phacoemulsification (n=75) or manual SICS (n=80) in a double blind prospective study. In the bag implantation of a hydrophobic acrylic intraocular lens was aimed in all cases. Patients with follow up of less than six months were excluded. Main outcome measures were alteration in endothelial cell counts (ECC) and morphology, improvement in vision and complication rates. ECC was measured preoperatively and at 1 week, 3 months and six months, postoperatively.Results: Six patients were lost to follow up and another three due inability to implant IOL. There were no significant difference in endothelial cell counts (P= 0.032), the variance of endothelial cell size (CV) and percentage of hexagonal cells between both the groups at six months (Mann-Whitney test, P=0.283). Endothelial cell density was significantly less in the group in which vitrectomy and/or pupil dilatation procedures were performed (2290±31.5 cells/mm2) versus (2385±50.3 cells/mm2), respectively (t test, P<0.001). Incidence of postoperative complications that were observed like persistent uveitis (P=0.591), macular edema (P=0.671) and PCO (P=0.678) and visual outcome (P=0.974) were comparable between the two groups.Conclusions: Manual SICS and phacoemulsification do not differ significantly in endothelial cell loss and complication rates in uveitic eyes. However, increased anterior chamber manoeuvring due to additional procedures may lead to significantly higher endothelial cell loss.

A COMPARATIVE STUDY OF SURGICALLY INDUCED ASTIGMATISM IN SUPERIOR AND TEMPORAL SCLERAL INCISION IN MANUAL SMALL INCISION CATARACT SURGERY

10.36106/ijsr/0838624 ◽

2021 ◽

pp. 1-3

Author(s):

Nitu Kumari ◽

Kumari Preeti ◽

Alka Jha ◽

Debarshi Jana

Keyword(s):

Comparative Study ◽

Cataract Surgery ◽

Visual Outcome ◽

Small Incision ◽

Incision Size ◽

Department Of Ophthalmology ◽

Induced Astigmatism ◽

Aim: To evaluate the amount and type of surgically induced astigmatism in superior and temporal scleral incision in Manual Small Incision Cataract Surgery (MSICS). Material and Methods: A prospective randomized comparative study was carried out in Upgraded Department of Ophthalmology, DMCH, Laheriasarai, Bihar. Total 100 cases of senile or pre-senile cataract included in this study from July 2019 to December 2019. All the patients underwent MSICS under peribulbar anaesthesia. The patients with very hard cataract were excluded so as to keep the incision size uniformity (6- 6.5mm). 50 cases received superior scleral incision and 50 cases received temporal scleral incision. Post operative astigmatism was studied in both groups using Bausch & Lomb Keratometer on 1st day, 7th day, 6th week and 3rd month. Results: After 3 months of surgery, out of 50 patients in superior scleral incision group 74% patients had ATR astigmatism and 16% patients had WTR astigmatism whereas in temporal scleral incision group 56 % of the patients had WTR astigmatism and 36 % had ATR astigmatism. The mean surgically induced astigmatism (SIA) in temporal incision group was signicantly less than the superior incision group after 3 months postoperatively (t=2.33, p<0.05). Conclusion: This study reveals that temporal approach MSICS produces less postoperative astigmatism and has manifold advantages over superior incision MSICS with excellent visual outcome.

Wound infection after cataract surgery: a report of two cases

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v2i1.3706 ◽

1970 ◽

Vol 2 (1) ◽

pp. 59-63

Author(s):

SK Singh ◽

P Bharali ◽

I Winter

Keyword(s):

Fungal Infection ◽

Cataract Surgery ◽

Wound Infection ◽

Antifungal Agents ◽

Visual Outcome ◽

Eye Drops ◽

Humid Climate ◽

Do So

Background: This is a report of 2 cases of fungal wound infection after cataract surgery (phacoemulsification). Both patients were noticed to have the fungal wound infection at the onemonth follow-up after the surgery. Observations: Although both patients had been advised to taper steroid containing antibiotic eye drops, they failed to do so. Despite intensive treatment with antifungal eye drops and oral antifungal agents, visual outcome was poor. Conclusion: Fungal infection of the wound may occur in cataract patients in the post-operative period. This infection is probably more common in patients who have had a temporal incision and who are from an agricultural background living in a hot and humid climate. Keywords: phacoemulsification; small incision cataract surgery; fungal infection DOI: 10.3126/nepjoph.v2i1.3706 Nep J Oph 2010;2(1) 59-63

Visual Outcome and surgically induced astigmatism in manual small incision cataract surgery versus phacoemulsification with rigid 5.25mm PMMA IOLs

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v6i9.173 ◽

2018 ◽

Vol 6 (9) ◽

Author(s):

Dr Nalini Birpuri ◽

Keyword(s):

Cataract Surgery ◽

Visual Outcome ◽

Small Incision ◽

Induced Astigmatism ◽

A COMPARATIVE STUDY OF SURGICALLY INDUCED ASTIGMATISM IN SUPERIOR AND TEMPORAL SCLERAL INCISION IN MANUAL SMALL INCISION CATARACT SURGERY AT SKMCH, MUZAFFARPUR, BIHAR

10.36106/ijsr/1927553 ◽

2020 ◽

pp. 1-3

Author(s):

Md. Imamul Hoda ◽

Shiv Kumar ◽

R. K. Singh ◽

Debarshi Jana

Keyword(s):

Comparative Study ◽

Cataract Surgery ◽

Visual Outcome ◽

Small Incision ◽

Incision Size ◽

Postoperative Astigmatism ◽

Induced Astigmatism ◽

Aim: To evaluate the amount and type of surgically induced astigmatism in superior and temporal scleral incision inManual Small Incision Cataract Surgery (MSICS). Material and Methods: A prospective randomized comparative study was carried out in 100 cases of senile or pre-senile cataract. All the patients underwent MSICS under peribulbaranaesthesia. The patients with very hard cataract were excluded so as to keep the incision size uniformity (6-6.5mm). 50 cases received superior scleral incision and 50 cases received temporal scleral incision. Post operative astigmatism was studied in both groups using Bausch & Lomb Keratometer on 1stday, 7thday, 6thweek and 3rdmonth. Results: After 3 months of surgery, out of 50 patients in superior scleral incision group 74% patients had ATRastigmatism and 16% patients had WTR astigmatism whereas in temporal scleral incision group 56 % of the patients had WTR astigmatism and 36 % had ATR astigmatism. The mean surgically induced astigmatism (SIA) in temporal incision group was significantly less than the superior incision group after 3 months postoperatively (t=2.33, p<0.05). Conclusion: This study reveals that temporal approach MSICS produces less postoperative astigmatism and hasmanifold advantages over superior incision MSICS with excellent visual outcome.

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

MVP Journal of Medical Sciences ◽

10.18311/mvpjms/2016/v3/i1/719 ◽

2016 ◽

Vol 3 (1) ◽

pp. 52 ◽

Cited By ~ 3

Author(s):

Mrunal Suresh Patil ◽

Dhiraj Namdeo Balwir ◽

Sonal Dua

Keyword(s):

Cataract Surgery ◽

Intraoperative Complications ◽

Visual Outcome ◽

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, 1st week, 3rd week, 6th 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 6th 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.