Study of central corneal thickness (CCT) before and after small-incision cataract surgery (SICS) and phacoemulsification surgery

2018 ◽  
Vol 26 (1) ◽  
pp. 35
Author(s):  
Prachi Shah ◽  
Shrikant Deshpande ◽  
Aarti Agarwal ◽  
Yash Gala
2015 ◽  
pp. 151 ◽  
Author(s):  
Olufisayo Aribaba ◽  
Adetunji Adenekan ◽  
Adeola Onakoya ◽  
Adekunle Rotimi-Samuel ◽  
John Olatosi ◽  
...  

2020 ◽  
Author(s):  
Sanket Parajuli ◽  
Ruchi Shrestha ◽  
Senny chapagain ◽  
Prerana Singh ◽  
Ramesh Shrestha

AbstractObjectives1) To study the changes in central corneal thickness (CCT) which is an indirect indicator of corneal endothelial dysfunction after uncomplicated small incision cataract surgery (SICS) and 2) To study changes in macular thickness following uncomplicated SICS.MethodsThis was a prospective study conducted in Reiyukai Eiko Masunaga eye hospital, Banepa, Nepal. Those who fulfill inclusion criteria were included in the study. Small incision cataract surgery was performed on 68 eyes of 62 patients Change in central corneal thickness and central macular thickness from baseline was observed post-surgery on 1st day, 1 week and 6 weeks.Results33 females and 35 males were included in the study. Mean age was 58.26 years. This difference of visual acuity between pre and post-operative state was statistically significant. The 1st post-operative day (POD) and 1 week POD values when compared with preoperative CCT values were statistically significant. But the 6 weeks POD when compared to preoperative CCT values were not statistically significant. The 1st POD, 1 week POD and 6 weeks POD CMT values when compared with preoperative CMT values were statistically significant.ConclusionThis study revealed that there was a significant rise in CCT after SICS which gradually tended to normalize at 6 weeks. Similarly there was a gradual rise in CMT after SICS persisting even at 6 weeks. However these changes were subtle and there was a marked improvement of visual acuity after SICS.SynopsisThere was statistically significant increase in central corneal thickness and central macular thickness following uncomplicated small incision cataract surgery, the former of which tends to normalize at 6 weeks post-surgery.


Author(s):  
NAVYA SAI K ◽  
SUHAS REDDY C ◽  
SRILEKHA K ◽  
AVANTHI PRIYA K

Objectives: The main objective of the study is to compare the vision outcomes between small-incision cataract surgery (SICS) and phacoemulsification (PHACO) procedures, to compare the quality of life (QOL) before surgery and after surgery, to improve the patient’s knowledge of their disease condition, and to increase medication adherence after the surgery. Methods: A prospective observational study was conducted for 6 months. About 100 patients were enrolled in the study according to the study criteria. Different scales ([visual function questionnaire] VFQ 25, QOL scale [QOLS] by Schalock and Keith, Morisky Adherence Scale -8 items) were scored from the patient’s profile and treatment chart by communicating with physicians, counseling the patients. Results: One hundred patients were assessed before and after cataract surgery and follow-up was made for 1 month. Overall, vision-related QOL was significantly improved in PHACO than SICS patients. National Eye Institute VFQ 25 was assessed on day 7 and day 30 where we have observed a statistically significant improvement in the PHACO group of patients than in SICS. Their medication adherence scores were categorized into a high, medium, low category, and most of the SICS patients remained in the medium category, whereas the number of patients increased from medium to high category in PHACO patients. Conclusion: We concluded that PHACO is better than small incisional cataract surgery due to its small and self-sealing incision, which requires no stitches in most cases, with minimum complications the patient heals faster and recovers rapidly.


2021 ◽  
Vol 8 (7) ◽  
pp. 468-472
Author(s):  
Saswati Biswas ◽  
Santosh Yadawrao Ingle ◽  
Samiran Das

Background: The main aim of the study is to compare the change in macular thickness after uncomplicated phacoemulsification versus uncomplicated manual SICS in known diabetic patients by optical coherence tomography Methods: This study was an observational study involving 50 patients with each group having 25 patients. Group 1 was operated with Phacoemulsification through limbal 2.8 mm incision with Foldable PCIOL implantation. & Manual small incision cataract surgery through 5.5 to 6.5 mm incision with sclerocorneal tunnel with PMMA PCIOL implantation. For all patients, macular OCT was performed during preoperative period & post-op 1st day,7th day, 1st month, 3rd month & 6th month. Statistical software SPSS, version 21.0 was used for statistical analysis. Results: In both PHACO & SICS group MCFT rose steadily during post-operative period and SICS group shows high rise during follow up.The MCFT shows a difference between PHACO & SICS group with the highest MCFT observed in 1st month follow up i.e., 231.6 micrometer (SD ±7.831) in PHACO group & 241.64 (SD ±7.35) micrometer in SICS group. The MCFT returned to near pre-op value by the 6th month. Conclusion: There is no effect of age and sex on macular thickness before and after in both PHACO and SICS groups. In SICS group significant macular thickness was observed as compared to PHACO group, so there should be more cautious to undertake SICS in those patients who are at risk of developing macular edema or who have a higher macular thickness as seen in diabetes patients. Keywords: Phacoemulsification (PHACO), small incision cataract surgery (SICS), Cystoid macular edema.


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