scholarly journals Safety and efficacy of the transition from extracapsular cataract extraction to manual small incision cataract surgery in prevention of blindness campaigns

2016 ◽  
Vol 23 (2) ◽  
pp. 187 ◽  
Author(s):  
Isabel Signes-Soler ◽  
Jaime Javaloy ◽  
Gonzalo Munoz ◽  
Tomas Moya ◽  
Raul Montalban ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Small Incision Cataract Surgery ◽  
Safety And Efficacy ◽  
Small Incision

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 Comparison of visual outcomes in patients undergoing small incision cataract surgery versus phacoemulsification at Divisional Headquarters Hospital, New Mirpur, Azad Kashmir.

2019 ◽  
Vol 26 (08) ◽  
pp. 1365-1369 ◽  
Author(s):  
Khawaja Abdul Hamid ◽  
Shaista Habibullah
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Small Incision Cataract Surgery ◽  
Visual Outcomes ◽  
Small Incision ◽  
Department Of Ophthalmology ◽  
Significant Difference ◽  
Uncorrected Visual Acuity

Cataract extraction is one of the commonest surgical procedures in Ophthalmology globally. Extracapsular cataract extraction ECCE), through a small incision (SICS), with insertion of an intraocular lens has been the most widely used method from 1990s until recently. Technological advances have led to the increasing use of phacoemulsification (PE) to emulsify and remove the lens. The technique requires a smaller incision, but requires substantial capital investment in theatre equipment. In this we compared the visual outcomes of patients undergoing both surgical techniques at a public sector hospital in Mirpur. Study Design: Single-center retrospective cohort study. Setting: Department of Ophthalmology, Divisional Headquarters Hospital, New Mirpur, AJK. Period: Cataract surgery cases from January 2018 to February 2019. Materials and Methods: 196 patients with age related cataract were included in the SICS group and 115 in the phacoemulsification group. The main comparative outcome was uncorrected visual acuity 4 weeks after surgery. Results: In this study, it was found that the primary post-operative visual outcome for small incision cataract surgery and phacoemulsification was comparable in terms of uncorrected visual acuity. No statistically significant difference was found in the proportions of SICS and phacoemulsification groups when compared for UCVA of 6/9 or better, 6/60 or better and 6/60 and worse.

scholarly journals Comparative Study of Extra Capsular Cataract Extraction (ECCE) and Small Incision Cataract Surgery (SICS): Experience on Cataract Surgery in a Tertiary Center of Army Hospital, Kathmandu

2018 ◽  
Vol 10 (2) ◽  
pp. 162-167
Author(s):  
Sagar Rajkarnikar ◽  
Dhan Bahadur Shrestha ◽  
Sachit Dhakal ◽  
Ram Shrestha ◽  
Kamala Thapa ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Visual Outcome ◽  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Small Incision Cataract Surgery ◽  
Record Keeping ◽  
Mature Cataract ◽  
Small Incision ◽  
Army Hospital ◽  
Tertiary Center

Introduction: Cataract is a common ailment of the old age hindering daily activities leading to poor quality of life due to poor vision. It is the commonest cause of treatable blindness. In practice, extracapsular cataract excision and small incision cataract surgery are the two-common surgery for cataract these days in developing part like in Nepal. Between these two cataract surgeries, ECCE and SICS; SICS gives the better visual outcome. Methods: This retrospective cohort study was carried out including 286 eyes which were operated either by conventional extracapsular cataract extraction or small-incision cataract surgery. The patient’s demographics, preoperative vision, postoperative parameters/variables were studied from the patient’s record keeping. The postoperative visual outcome and complications were compared in both groups at the immediate post-operative period and at 8 weeks follow up period. Result: Among the total 286 cases, 138 underwent ECCE and 148 underwent SICS. 145 (50.6%) were right eye, 141 (49.3%) were left eye. Among total operated cases, 123 (43%) were mature cataract, 97 (33.9%) immature cataract, 66 (23.1%) hyper-mature cataract. In 172 cases (60.1%) there was a good vision, in 104 cases (36.4%) it was borderline while in rest 10 (3.5%) cases it was poor on the 60th postoperative day. There was the better visual outcome (≥6/18) with SICS (78.3%) than ECCE (40.5%) (p<0.001) on the 60th post-operative day. Among cases undergoing SICS the complications were less than ECCE. (p<0.001, OR=5.72 (2.10-15.51)). Conclusion: This study supports that SICS is safer than ECCE with less complication rate and better visual outcome in short term observation.  

Sign in / Sign up

Export Citation Format

Share Document