Acomparative Study of Surgically Induced Astigmatism in Superiorversus Superotemperal Incision in Small Incision Cataract Surgery in Govt. Siddartha Medical College, Vijayawada

2017 ◽  
Vol 16 (04) ◽  
pp. 78-81
Author(s):  
Drvmvrvprasadarao M.S ◽  
Dr ESN Murthy M.S
Keyword(s):  
Cataract Surgery ◽  
Small Incision Cataract Surgery ◽  
Surgically Induced Astigmatism ◽  
Medical College ◽  
Small Incision ◽  
Induced Astigmatism ◽  
Surgically Induced

Comparative Study of Post Operative Astigmatism Following Small Incision Cataract Surgery-Sics in Superior, Supero-Temporal and Temporal Incision.

2014 ◽  
Vol 25 (2) ◽  
pp. 72-74
Author(s):  
Md Abdur Rashid ◽  
Kh Anowar Hossain ◽  
AKM Rafiqul Islam ◽  
Zahir Uddin
Keyword(s):  
Cataract Surgery ◽  
Small Incision Cataract Surgery ◽  
Surgically Induced Astigmatism ◽  
Medical College ◽  
Small Incision ◽  
Corneal Scar ◽  
Induced Astigmatism ◽  
Medicine Today ◽  
Group B ◽  
Surgically Induced

This prospective study was designed to evaluate and compare surgically induced astigmatism in small incision cataract surgery through superior, supero-temporal and temporal approach. Astigmatism means no point focus. It is a refractive error that occurs when the optical system does not have the same refractive power at all its meridian. The location and width of incision will determine the amount of surgically induced astigmatism (SIA) in small incision cataract surgery. Temporal and superotemporal incisions are less likely to induce post operative astigmatism than the 12 o' clock incisions. The study was carried out at Tairunnessa Memorial Medical College and Hospital, Gazipur, Faridpur Diabetic Association Medical College and Hospital, Faridpur and General Hospital, Faridpur, Bangladesh, from January 2012 to June 2013.Total number of 120 eyes of 108 patients, both male and female patients were included for the study. We excluded the patients having corneal scar, irregular astigmatism, presence of pterygium and previous intraocular surgery from our study. The mean patient age at the time of surgery was 61.9±8.1 years ranged from 40 to 70 years.The patients were divided into three groups.The three groups had 40 patients each. The patients in group-A underwent manual SICS with a superior incision, the patients in group-B underwent manual SICS with a supero-temporal incision and the patients in group-C underwent manual SICS with a temporal incision. The small incision cataract surgeries were done by applying same surgical technique.The courses of the post operative astigmatic changes were determined by using Auto Refracto Keratometer at 1st week, 6th weeks and 12th week postoperatively. DOI: http://dx.doi.org/10.3329/medtoday.v25i2.17925 Medicine Today 2013 Vol.25(2): 72-74

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.

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

2021 ◽  
pp. 1-3
Author(s):  
Nitu Kumari ◽  
Kumari Preeti ◽  
Alka Jha ◽  
Debarshi Jana
Keyword(s):  
Comparative Study ◽  
Cataract Surgery ◽  
Visual Outcome ◽  
Small Incision Cataract Surgery ◽  
Surgically Induced Astigmatism ◽  
Small Incision ◽  
Incision Size ◽  
Department Of Ophthalmology ◽  
Induced Astigmatism ◽  
Surgically Induced

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.

scholarly journals COMPARISON OF SURGICALLY INDUCED ASTIGMATISM WITH SMALL INCISION CATARACT SURGERY AND PHACOEMULSIFICATION

2015 ◽  
Vol 4 (71) ◽  
pp. 12354-12360 ◽  
Author(s):  
Umesh Harakuni ◽  
Shivanand Bubanale ◽  
Smitha K S ◽  
Arvind L. Tenagi ◽  
Kshama K K ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Small Incision Cataract Surgery ◽  
Surgically Induced Astigmatism ◽  
Small Incision ◽  
Induced Astigmatism ◽  
Surgically Induced
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