A Comparative Study to Evaluate Visual Outcome in Post-Operative Patients of Manual Small Incision Cataract Surgery and Phacoemulsification

Rathi, Ashok; Singh, Nidhi; Chugh, Joginder Pal; Jain, Gautam

doi:10.36348/sjmps.2020.v06i04.004

Cited by 5 publications

(6 citation statements)

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“…11 Similar results were found in a study by Ashok Rathi et al as there was no statistically significant difference between the MSICS & Phacoemulsification in terms of BCVA at post-operative 1 month. 16 In our study, there was no significant difference in mean astigmatism between both the groups during preoperative period. The mean postoperative astigmatism at six weeks in Group 1 was 0.154±0.22D and 0.32±0.34D in Group 2.…”

Section: Discussioncontrasting

confidence: 48%

Comparative study of anatomic and functional changes of the corneal endothelium in cataract patients undergoing phacoemulsification and MSICS

Khosa

Singh²,

Kaur³

et al. 2021

IJCEO

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The purpose of this study was to compare the effect of Phacoemulsification and Manual small incision cataract surgery (MSICS) on the corneal endothelium and to assess its impact on visual acuity and induced astigmatism. In this prospective randomized study, 100 cases were randomly selected with the help of lottery system. 50 cases underwent phacoemulsification (group 1) and 50 underwent MSICS (group 2) by a single surgeon. The endothelial cell count, central corneal thickness, best corrected visual acuity and induced astigmatism was measured preoperatively and postoperatively on day 1, 7, 28 and on day 42. Mean endothelial cell loss (cells/mm2) in group 1 at the end of six weeks was 538.64 (20.59%) and in group 2 was 485.66 (19.20%) which was statistically insignificant (p >0.05). The mean central corneal thickness was reduced in both the groups with a mean of 0.51±0.04 mm in group 1 and 0.50±0.03 mm in group 2 which was statistically insignificant. Postoperative best corrected visual acuity of more than 6/18 was found in 49 (98%) cases in each group at six weeks, and was statistically insignificant (p value > 0.05). Phacoemulsification group had statistically significant less mean postoperative astigmatism than MSICS group (p value < 0.05). Both groups gave similar statistically insignificant results in relation to endothelial cell loss, central corneal thickness and best corrected visual acuity at the end of six weeks, although the mean astigmatism was more in group 2 in comparison to group 1 with a statistically significant difference.

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Section: Discussioncontrasting

confidence: 48%

Comparative study of anatomic and functional changes of the corneal endothelium in cataract patients undergoing phacoemulsification and MSICS

Khosa

Singh²,

Kaur³

et al. 2021

IJCEO

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“…Fernanda et al, also found that the relationship between sex and the incidence of cataracts was statistically significant (p= <0.05). Different results were found in Rathi et al [4] it was said that there was no significant difference between sex with cataract incidence. The study of Rathi et al [5] was had the same result from Ahmed's research that there is no difference between gender and age of patients with cataract incidence.…”

Section: Discussionmentioning

confidence: 66%

“…Fernanda et al, also found a statistically significant relationship between age and cataract incidence (p= <0.05) [2]. Rathi et al [4] found that the average age of patients in their study was 63.01 years old and there was no significant difference between the incidence of cataracts and the age of the patient.…”

Section: Discussionmentioning

confidence: 87%

Comparison of Visual Acuity between Post Small Incision Cataract Surgery and Phacoemulsification in Sanjiwani Hospital

Surya¹,

Sunariasih²

2021

EJMED

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Cataracts are the second most common cause of blindness in the world at 33%. The incidence of cataracts is 0.1% of the total population, so the number of new cataract cases in Indonesia is estimated at 250,000 per year. This study aims to compare the visual acuity of post cataract surgery patients with Small Incision Cataract Surgery and Phacoemulsification techniques at Sanjiwani Hospital, Gianyar. This study was a retrospective cohort at Ophthalmologist’s Outpatient Departement of Sanjiwani Hospital, Gianyar, Bali. The sample of this study was 60 patients with 84 eyes with senile cataract. The surgical techniques performed were Small Incision Cataract Surgery (53.6%) and Phacoemulsification (46.4%). After that, an Uncorrected Visual Acuity (UCVA) examination was carried out on day 1 and day 42. The result were cataract patients at Sanjiwani Hospital, Gianyar aged 60-65 years who were male. Comparison of visual acuity after Small Incision Cataract Surgery and Phacoemulsification had the same results. On day 1 and day 42, there was no different uncorrected visual acuity result between Small Incision Cataract Surgery and Phacoemulsification statistically.

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“…These studies were in consistence with our study wherein there was a significant difference between various 2 groups in terms of distribution of Vision Category in first week. In a study by Rathi A et al [15] participants in the Group: Phacoemulsification had the better proportion of Vision Category (Post-Operative Day-7) 6/18 or better on 7th postoperative day compared to MSICS group due the difference in the size of the incision and induced astigmatism.…”

Section: Discussionmentioning

confidence: 97%

Visual Outcome of Manual Small Incision Cataract Surgery and Phacoemulsification in a Tertiary Care Center

2022

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Introduction: Phacoemulsification is considered the gold-standard procedure for cataract. However, MSICS being less expensive can be considered a better procedure for doing mass surgeries. The purpose of this comparative hospital-based study was to assess the visual outcome in the post-operative patients of MSICS and Phacoemulsification. Method: 160 consecutive patients who completed the post operative follow up of 6 weeks were included in our study with two groups of 80 patients each. One group of patients were operated by MSICS and another by Phacoemulsification. Proper ocular examination including visual acuity (aided and unaided), pupillary reaction, slit lamp examination and fundus was evaluated at week 1 and week 6. Results: Amongst the 80 cases of phacoemulsification 74 (92.5%) had unaided visual acuity of 6/18 or better at week 1. In case of MSICS unaided visual acuity of 6/18 or better was present in only 62 (77.5%) cases at week 1. The results were statistically significant (P <0.01) in favour of Phacoemulsification. At week 6 Visual Acuity of 6/18 or better was present in 76 (95%) and 67 (83.5%) patients in Phacoemulsification and MSICS methods respectively, though better in phacoemulsification group it was not statistically significant (P>0.01). Similar was case with Best Corrected Visual Acuity at week 6. Conclusion: Phacoemulsification gives better UCVA at 1st week than MSICS though both are equally safe and efficacious procedures with low complication rates and same visual outcome when compared at 6 weeks. MSICS can thus be an alternative wherever the requisite equipment and expertise for PHACO are not available. Keywords: Manual Small Incision Cataract Surgery, Phacoemulsification, Visual outcome, surgical induced astigmatism.

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A Comparative Study to Evaluate Visual Outcome in Post-Operative Patients of Manual Small Incision Cataract Surgery and Phacoemulsification

Cited by 5 publications

References 0 publications

Comparative study of anatomic and functional changes of the corneal endothelium in cataract patients undergoing phacoemulsification and MSICS

Comparative study of anatomic and functional changes of the corneal endothelium in cataract patients undergoing phacoemulsification and MSICS

Comparison of Visual Acuity between Post Small Incision Cataract Surgery and Phacoemulsification in Sanjiwani Hospital

Visual Outcome of Manual Small Incision Cataract Surgery and Phacoemulsification in a Tertiary Care Center

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