Phacoemulsification versus manual small incision cataract surgery for treatment of cataract

El-Sayed, Saber H; Elsobky, Hoda M Kamel; Badawy, Nermeen M; El-Shafy, Eslam Aa

doi:10.4103/1110-2098.155987

Cited by 15 publications

(15 citation statements)

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“…The distribution of the patient's age has showed a majority of them aged between 45 and 55 years with a mean age of 56.76 years. This was in accordance with the retrospective study conducted by Semanyenzi et al, in the year 2015, the distribution of the patient's age showed a majority of them aged between 50 and 79 years with a mean age of 65.8 years [10]. We have observed that 36% of the total population were found to be male and 64% are found to be female in SICS, whereas 56% are found to be male and 44% are found to be female in PHACO were listed in Table 6, this was in accordance with a prospective randomized controlled trial conducted by Singh et al, in the year 2007, which showed no difference in terms of gender [11].…”

Section: Discussionsupporting

confidence: 92%

Comparison of Vision Outcomes Between Sics (Small-Incision Cataract Surgery) and Phacoemulsification in Cataract Surgery

Srilekha

et al. 2020

Asian J Pharm Clin Res

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Objectives: The main objective of the study is to compare the vision outcomes between small-incision cataract surgery (SICS) and phacoemulsification (PHACO) procedures, to compare the quality of life (QOL) before surgery and after surgery, to improve the patient’s knowledge of their disease condition, and to increase medication adherence after the surgery. Methods: A prospective observational study was conducted for 6 months. About 100 patients were enrolled in the study according to the study criteria. Different scales ([visual function questionnaire] VFQ 25, QOL scale [QOLS] by Schalock and Keith, Morisky Adherence Scale -8 items) were scored from the patient’s profile and treatment chart by communicating with physicians, counseling the patients. Results: One hundred patients were assessed before and after cataract surgery and follow-up was made for 1 month. Overall, vision-related QOL was significantly improved in PHACO than SICS patients. National Eye Institute VFQ 25 was assessed on day 7 and day 30 where we have observed a statistically significant improvement in the PHACO group of patients than in SICS. Their medication adherence scores were categorized into a high, medium, low category, and most of the SICS patients remained in the medium category, whereas the number of patients increased from medium to high category in PHACO patients. Conclusion: We concluded that PHACO is better than small incisional cataract surgery due to its small and self-sealing incision, which requires no stitches in most cases, with minimum complications the patient heals faster and recovers rapidly.

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Section: Discussionsupporting

confidence: 92%

Comparison of Vision Outcomes Between Sics (Small-Incision Cataract Surgery) and Phacoemulsification in Cataract Surgery

Srilekha

et al. 2020

Asian J Pharm Clin Res

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“…A similar study performed 3 mo postoperatively where recorded mean postoperative astigmatism due to phacoemulsification was 1.23±0.32 D and MSICS was 1.27±0.22 D [11]. This was not in concordance with our findings, which found a statistically significant difference between induced astigmatism in both procedures.…”

Section: A Study By Bhandari Recorded Mean Postoperative Astigmatism contrasting

confidence: 66%

Comparison of Postoperative Corneal Astigmatism in Phacoemulsification and Manual Small Incision Cataract Surgery

Nair

Divya

Panimalar

et al. 2020

Int J Curr Pharm Sci

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Objective: Globally a significant proportion of treatable blindness is caused by cataract, especially in India and southeast Asia. Treatment of cataract is surgical correction with intraocular lens implantation. The main drawback of surgical correction is induction of postoperative astigmatism in patients. The aim of this study was to compare the degree of astigmatism in manual small incision cataract surgery and phacoemulsification 3 mo postoperatively Methods: The study was a retrospective case study on postoperative corneal astigmatism after cataract surgery. It was conducted in a tertiary care hospital in Thandalam, Tamil Nadu. A total of 100 patients were selected and divided into two groups, group A (=50) underwent phacoemulsification and group B (=50) underwent manual small incision cataract surgery. Preoperative astigmatic status of the patients was noted from patient records. Both groups were evaluated 3 mo postoperatively using automated keratometry. The data collected was analyzed using Microsoft Excel Independent T test, p<0.05 was considered statistically significant. Power of the study was 80% with an alpha error of 5%. Results: Mean postoperative astigmatism at 3 mo was 0.91±0.255D and 0.34±0.110D due to manual small incision cataract surgery and phacoemulsification, respectively. Conclusion: Postoperative astigmatism was greater in manual small incision cataract surgery than phacoemulsification. Improvement in preoperative astigmatism was seen in patients who underwent superotemporal incision phacoemulsification

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“…The incidence of post-operative astigmatism is reported to be substantially low in Phaco. 20 Surgical time-period is reported to be lower in SICS as compared with Phaco. Furthermore, in SICS rigid IOL is used most of the times, which is cheaper than the foldable IOL.…”

Section: Discussionmentioning

confidence: 93%

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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Phacoemulsification versus manual small incision cataract surgery for treatment of cataract

Cited by 15 publications

References 0 publications

Comparison of Vision Outcomes Between Sics (Small-Incision Cataract Surgery) and Phacoemulsification in Cataract Surgery

Comparison of Vision Outcomes Between Sics (Small-Incision Cataract Surgery) and Phacoemulsification in Cataract Surgery

Comparison of Postoperative Corneal Astigmatism in Phacoemulsification and Manual Small Incision Cataract Surgery

Visual Outcome of Phacoemulsification Versus Small Incision Cataract Surgery

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