Search citation statements
Paper Sections
Citation Types
Year Published
Publication Types
Relationship
Authors
Journals
BACKGROUND Cataract surgery is done on a large scale in tertiary care centres in India. Because of large pool of patients requiring cataract surgery we require a procedure which is easy, cheap, effective, free from complications and with good outcome. We need to train our surgeons in fulfilling the need of the nation. MATERIALS AND METHODS We have selected 1051 patients selected for cataract surgery with MSICS procedure from February 2016 to December 2016. They were investigated thoroughly for comorbidities like Hypertension, diabetes, Asthma or COPD. Smoking history of the patients was recorded. Patients with active Pulmonary TB and Glaucoma were excluded from the study. These patients were followed through surgery for intraoperative and postoperative complications. Acuity of vision was checked on first POD and after 6 weeks of surgery. Astigmatism was assessed at the end of six weeks after surgery. RESULTS 80% of these patients presented in above 50 years of age group. Nearly 50% of these patients presented with a vision of counting fingers to 6/60. Male: Female ratio among our patients is 1.4:1. The habit of smoking was observed in nearly 50% of our patients. Important comorbidities included Diabetes with or without hypertension, asthma and COPD. Intraoperative complications like difficult cortical aspiration, posterior capsular rent and difficult nuclear prolapse were observed. Postoperative complications like striate keratopathy, postoperative anterior uveitis and hyphaema were observed. Most of these complications are not vision threatening. 80% of the patients had satisfactory vision of > 6/18 at end of six weeks after surgery. Astigmatism was seen in around 20.94% of patients, but a majority of them had an astigmatism of 1 to 2D and was correctible. Summary-MSICS is a useful technique for Cataract surgery. It is safe and effective. The results are comparable to Phacoemulsification with satisfactory vision restoration. CONCLUSION MSICS is a simple and safe technique for cataract surgery and can be recommended in camp and hospital conditions, especially in resource poor countries.
BACKGROUND Cataract surgery is done on a large scale in tertiary care centres in India. Because of large pool of patients requiring cataract surgery we require a procedure which is easy, cheap, effective, free from complications and with good outcome. We need to train our surgeons in fulfilling the need of the nation. MATERIALS AND METHODS We have selected 1051 patients selected for cataract surgery with MSICS procedure from February 2016 to December 2016. They were investigated thoroughly for comorbidities like Hypertension, diabetes, Asthma or COPD. Smoking history of the patients was recorded. Patients with active Pulmonary TB and Glaucoma were excluded from the study. These patients were followed through surgery for intraoperative and postoperative complications. Acuity of vision was checked on first POD and after 6 weeks of surgery. Astigmatism was assessed at the end of six weeks after surgery. RESULTS 80% of these patients presented in above 50 years of age group. Nearly 50% of these patients presented with a vision of counting fingers to 6/60. Male: Female ratio among our patients is 1.4:1. The habit of smoking was observed in nearly 50% of our patients. Important comorbidities included Diabetes with or without hypertension, asthma and COPD. Intraoperative complications like difficult cortical aspiration, posterior capsular rent and difficult nuclear prolapse were observed. Postoperative complications like striate keratopathy, postoperative anterior uveitis and hyphaema were observed. Most of these complications are not vision threatening. 80% of the patients had satisfactory vision of > 6/18 at end of six weeks after surgery. Astigmatism was seen in around 20.94% of patients, but a majority of them had an astigmatism of 1 to 2D and was correctible. Summary-MSICS is a useful technique for Cataract surgery. It is safe and effective. The results are comparable to Phacoemulsification with satisfactory vision restoration. CONCLUSION MSICS is a simple and safe technique for cataract surgery and can be recommended in camp and hospital conditions, especially in resource poor countries.
Purpose: To evaluate various methods of nucleus delivery in manual small incision cataract surgery, with reference to visual outcome, intraoperative, and postoperative complications. Methods: In this prospective randomized interventional study, five groups of 40 cases each were constituted, with reference to nucleus delivery technique: (a) phacosandwich, (b) fishhook, (c) irrigating vectis, (d) viscoexpression, and (e) anterior chamber maintainer (ACM). Visual outcome, intraoperative, and postoperative complications were evaluated in detail. Follow-up was done on first and seventh postoperative days (PODs) and then at fourth and eighth postoperative weeks. Results: The most common intraoperative complication was intraoperative miosis, followed by intraoperative hyphema, seen more in phacosandwich and irrigating vectis groups. The most common postoperative complication was striate keratopathy followed by transient postoperative corneal edema and AC inflammatory response, seen more in phacosandwich and fishhook groups. With reference to visual acuity, on the first POD 95% cases of ACM group achieved visual acuity >+0.5 logMAR unit. The difference in the visual outcome among groups was statistically significant. On fourth and eighth postoperative weeks, best-corrected visual acuity among various groups was comparable. Conclusion: ACM and viscoexpression are effective techniques for early visual rehabilitation. Fishhook has limited utility in softer nuclear grades and black cataracts. Phacosandwich is more suitable for nuclear sclerosis Grades 3–4. Irrigating vectis, viscoexpression, and ACM technique are effective techniques for all grades of nucleus Postoperative surgical-induced astigmatism was comparable in all techniques.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.