A Comparative Study of Clear Corneal Phacoemulsification with Rigid IOL Versus SICS; the Preferred Surgical Technique in Low Socio-economic group Patients of Rural Areas

Devendra, Jaya; Agarwal, Sarla; Singh, Pankaj

doi:10.7860/jcdr/2014/10717.5208

Cited by 8 publications

(7 citation statements)

References 17 publications

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“…A study reported that although there was no significant difference in post-operative visual acuities of the patients that underwent either Phaco or SICS, post-operative astigmatism was substantially higher in the SICS group having rigid IOL implantation than in PHACO with rigid IOL implantation. 23 Likewise, Mahayana et al also observed similar results, reporting a mean astigmatism of 0.98 D in the Phaco group while 1.45 D in SICS group. 24 In line with our study, Iqbal et al reported slightly higher astigmatism in SICS group as compared to Phaco group.…”

Section: Discussionmentioning

confidence: 65%

Visual Outcome of Phacoemulsification Versus Small Incision Cataract Surgery

Das

Shaikh²,

Kumar³

et al. 2020

pak J Ophthalmol

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Purpose: To determine visual rehabilitation of Phacoemulsification in comparison to small incision cataract surgery after implantation of rigid intraocular lens. Study Design: Quasi Experimental Study. Place and Duration of Study: Shaheed Mohtarma Benazir Bhutto Medical College Lyari and Sindh Government Lyari General Hospital, Karachi, from July 2018 to December 2019. Methods: Patients with 35 – 70 years age and diagnosed with senile cataracts and visual acuity of <6/36were included. Patients having any corneal disease, intra-ocular pressure > 22 mmHg, high ametropia, any other eye disease were excluded. Patients were divided into two groups of 80 patients each. Group I underwent Phaco-emulsification and group II had Small incision cataract surgery. For data analysis, SPSS version 20.0 was used. Frequency and percentages were calculated for qualitative data and quantitative data was presented as mean and standard deviation. Results: In a total of 160 patients operated of cataract, male to female ratio was 1:1. The range of astigmatism after 6 months in the group I was between 0.5 – 1.00 D while in the group II, it was between 0.75 – 1.75 D. Uncorrected visual acuity and best corrected visual acuity of 6/18 or better was seen in 90 and 97% group 1 while it was 85% and 95% in group II patients respectively at sixth month. Conclusion: No significant difference was seen in uncorrected and best corrected visual acuity between the two groups. Time of surgery was lesser group 2 and Astigmatism was lesser in group 1. Key Words: Phaco-emulsification, Small Incision Cataract Surgery, Visual Rehabilitation.

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Section: Discussionmentioning

confidence: 65%

Visual Outcome of Phacoemulsification Versus Small Incision Cataract Surgery

Das

Shaikh²,

Kumar³

et al. 2020

pak J Ophthalmol

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“…Ruit et al 7 revealed that manual SICS is faster than phacoemulsification for advanced cataracts cases. Devendra et al 13 found that the average operative time in the phaco group was 16 min versus 10 min in the SICS group. Gogate et al 15 showed that a shorter duration of SICS decrease backlog of cataract patients.…”

Section: Discussionmentioning

confidence: 99%

“…Cataract surgery dramatically increase patients' quality of life and markedly improve visual function. 13 Although, phacoemulsification is the preferred method for cataract surgery worldwide, it is not always available in developing countries. 14 The mSICS is less expensive, less technology dependent and might be faster than phacoemulsification.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of manual small incision cataract surgery (mSICS) compared with phacoemulsification from population based outreach eye camp, in Yogyakarta and Southern Central Java Region, Indonesia

Mahayana

Setyowati

Winarti

et al. 2018

J Community Empowerment for Health

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In this study, we compared the effectiveness (comparison of post-operative visual acuity/VA) of phacoemulsification by ophthalmologists versus manual small incision cataract surgery (mSICS) by residents in a mass cataract surgery setting. This research was a cross-sectional study of 1137 cataract patients who underwent cataract surgery by ophthalmologists and residents in outreach eye camps during 2015-2017 (3 years). There were 554 patients who underwent phacoemulsification by ophthalmologists and 583 patients who underwent mSICS by residents. Basic patient characteristics data, such as: age, sex and pre-surgical VA were recorded and we compared pre- versus post-operative VA (best corrected VA/BCVA) and surgical adverse events in 4 weeks post-operative follow-up. In basic subject characteristics, there were no differences in age and sex between the 2 groups, in which 602 (52.9%) were men and 535 (47.1%) were women. Overall 583 (51.3%) eyes received mSICS and 554 (48,7%) eyes received phacoemulsification. Visual acuity improvement (≥6/18) was achieved in 59.61% of eyes after phacoemulsification and 53.5% eyes after mSICS. There were no statistical differences in visual outcome results between both groups (p=0.10). Severe surgical adverse events (nucleus drop and endophthalmitis) were found in 3 cases (0.26%) and choroidal bleeding in 1 eye (0.08%). The effectiveness of phacoemulsification and mSICS in improving visual acuity was found similar between ophthalmologists and residents. mSICS should be considered for more frequent use in high volume mass cataract surgery.KEYWORDS cataract surgery; phacoemulsification; manual small incision cataract surgery; outreach program; community ophthalmology

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“…This does not allow us to evaluate the surgically induced astigmatism. Astigmatism is a complication of cataract surgery that can in luence functional results [5][6][7][8][9]15]. Another limit of our study is the non-computation of implant power for the same reason as before.…”

Section: Discussionmentioning

confidence: 99%

“…Visual acuity on D45 does not re lect the inal visual acuity of the operated eye especially with ECCE, which requires suf icient perspective to stabilize the astigmatogen effect of sutures. Some authors evaluated visual acuity 6 or 12 weeks postoperative [4,5,8,[11][12][13][14][15][16]. The ablation of sutures was done on D30 of postoperative in G1.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Anatomic and Functional Outcomes of Two Surgical Techniques of Cataract at Lome

Kd¹

2017

Int J Clin Exp Ophthalmol

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Aim: To compare the anatomical and functional outcomes of cataract surgery with manual small incision cataract surgery (MSICS) to those of extracapsular cataract extraction (ECCE) in Lome. Patients and Methods: A prospective study involved two groups of patients who underwent ECCE (group 1) and MSICS (group 2) by the same surgeon in the same conditions in different periods. Complications and visual results to the 45th postoperative day were compared. Results: At the 45th postoperative day, 60% of operated eyes of the ECCE group (G1) and 83.9% in the group of MSICS (G2) had uncorrected visual acuity greater than or equal to 3/10. Through the pinhole, these proportions increased to 73.3% for G1 and 92.2% for G2. Visual acuity was less than 1/10 in 4.4% for G1 and 1.1% for G2. The vitreous loss was observed in proportions of 3.8% for G1 and 3.3% for G2. During follow-up, the three main early postoperative complications were infl ammation (13.9%), corneal edema (13.3%), and the pigment dispersion (7.2%) in G1 and corneal edema (9.4%), pigment dispersion (8.3%) and hypertonia (6.6%) in G 2. Conclusion: Two cataract extraction techniques offer the same level of safety in intraoperative period. However, MSICS has certain advantages over the ECCE and would be an alternative technique in developing countries.

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A Comparative Study of Clear Corneal Phacoemulsification with Rigid IOL Versus SICS; the Preferred Surgical Technique in Low Socio-economic group Patients of Rural Areas

Cited by 8 publications

References 17 publications

Visual Outcome of Phacoemulsification Versus Small Incision Cataract Surgery

Visual Outcome of Phacoemulsification Versus Small Incision Cataract Surgery

Outcomes of manual small incision cataract surgery (mSICS) compared with phacoemulsification from population based outreach eye camp, in Yogyakarta and Southern Central Java Region, Indonesia

A Comparative Study of Anatomic and Functional Outcomes of Two Surgical Techniques of Cataract at Lome

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