Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial

Gogate, Pariskshit; Deshpande, Madan; Wormald, Richard; Deshpande, Rahul; Kulkarni, Sucheta

doi:10.1136/bjo.87.6.667

Cited by 124 publications

(129 citation statements)

References 9 publications

Supporting

Mentioning

110

Contrasting

Unclassified

Order By: Relevance

“…11 A randomised trial showed that 48% of patients achieved an unaided vision of 6/18 or better 6 weeks after SICS compared to 37% following conventional ECCE. 28 The same trial also demonstrated that SICS was no more costly. Including fixed costs, the cost per operation was $15.82 for standard ECCE and $15.68 for SICS.…”

Section: Surgerymentioning

confidence: 91%

See 1 more Smart Citation

High-volume surgery in developing countries

Yorston

2005

Eye

View full text Add to dashboard Cite

Background Cataract remains the world's leading cause of blindness. In the developing world, many eye clinics provide cataract surgery for only a small proportion of those in need. This is partly because of low demandFcaused by barriers related to awareness, bad services, cost, and distanceFand partly because of deficiencies in the supply of services. This article reviews innovations in cataract surgery in poor countries that are intended to reverse this trend. Conclusions Increasing the number of operations, through close involvement with the community, and improved surgical outcomes, enables the cost of surgery to be reduced, leading to further growth in volume. Recent innovations, such as low-cost intraocular lenses, and small-incision extracapsular cataract extraction, have contributed to improving the results of surgery without increasing the costs. Effective management enables the delivery of increasing the numbers of operations, while at the same time improving outcomes and controlling costs.

show abstract

Section: Surgerymentioning

confidence: 91%

“…28,29 However, with increasing experience, it is possible to perform SICS in well over 90% of eyes. 30 There are no published randomised trials comparing SICS with phacoemulsification.…”

Section: Surgerymentioning

confidence: 99%

High-volume surgery in developing countries

Yorston

2005

Eye

View full text Add to dashboard Cite

show abstract

“…Gogate et al 14 , reported iridodialysis in 2 cases (0.56%) out of total 358 manual SICS cases. Our study is in accordance with the above study.…”

Section: Superior Iridodialysismentioning

confidence: 99%

Study of Intraoperative Complications in Small Incision Cataract Surgery, its Management and Visual Outcome

Patil¹,

Balwir²,

Dua³

2016

MVP J Med Sci

View full text Add to dashboard Cite

Aims: To study the intraoperative complications in small incision cataract surgery and its management and to study the visual outcome following the management of intraoperative complications. Material and Methods: A total of 250 cases studied from who underwent SICS. Intraoperative complications were studied and managed. Visual outcome following these complications were studied by noting the best corrected visual acuity after day 1, 1st week, 3 rd week, 6th week following surgery. Results: The total intraoperative complications were seen in 22 (8.8%) patients. Posterior capsule rent was seen in 6 eyes (2.4%). Iris prolapse in 5 eyes (2%). Descemet detachment was seen in 3 eyes (1.2%). Premature entry was seen in 3 eyes (1.2%). Capsulorrhexis extension was seen in 2 eyes (0.8%). Zonular dialysis was seen in 2 eyes (0.8%). Superior iridodialysis was seen in only one eye (0.4%). Out of 250 cases, 246 came for follow up till 6th week. 214 (85.6%) patients had post operative BCVA 6/6 at the end of 6 th week, 25(10%) patients had 6/9, 5 patients (2%) had 6/12-6/18 and remaining 2 patients (0.8%) had 6/24-6/36 BCVA. Conclusion: The study results shows that in high quality cataract surgery (91.2% without intraoperative complications) 99% BCVA 6/18 or better can be attained. In our study incidence of intraoperative complications was 8.8% in which posterior capsular rent and iris prolapse were the common intraoperative complications.

show abstract

“…Antibiotic and steroid administration is similar to that of ECCE. MSICS was demonstrated to show better uncorrected postoperative vision when compared to ECCE [38]. Even when final visual recovery is similar in MSICS and ECCE, eyes in the small incision group tend to have significantly faster recovery [39].…”

Section: Manual Small Incision Cataract Surgerymentioning

confidence: 99%

Optimizing Outcome of Cataract Surgery in Resource Scarce Sub-Saharan Africa

Abdu¹

2018

Difficulties in Cataract Surgery

View full text Add to dashboard Cite

Background: Sub-Saharan Africa disproportionately accounts for high number of avoidably blind largely caused by cataracts.The blindness burden: Limitation in human and material resource for delivery of cataract surgical services, cost, gender, distance to hospital, time off for the care giver, fear of surgery, uncultured behavior of eye care personal, poor visual outcome, general governments neglect of health care, lack of health insurance for vast majority of the population, healthcare funded by individuals as out of pocket despite grinding poverty, reliance on poorly coordinated and unsustainable outreach program, malpractices of quacks and traditional eye healers amongst other reasons.More than just a cataract: Cataract services require systematic evaluation of the patients' general condition as well as the eye. Appropriate counseling is required to understand the goal and expectation of treatment. Adequate planning of surgery includes ocular biometry and provision of the appropriate intra ocular lens. The management protocol must ensure adequate measures are taken to prevent/ manage critical incidents whenever such a need arises. Conclusion:Cataract surgical services need to be patient centered with the goal of optimizing resources for quality outcome without compromising safety.

show abstract

Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial

Cited by 124 publications

References 9 publications

High-volume surgery in developing countries

High-volume surgery in developing countries

Study of Intraoperative Complications in Small Incision Cataract Surgery, its Management and Visual Outcome

Optimizing Outcome of Cataract Surgery in Resource Scarce Sub-Saharan Africa

Contact Info

Product

Resources

About