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Abstract

Background: Phacoemulsification cataract surgery can be done with temporal incision foldable posterior chamber intraocular lens (PCIOL) implantation. An extended temporal incision can also do it with rigid (non-foldable) intraocular lens implantation. The size of the incision may impact the magnitude of postoperative Astigmatism and visual outcome. The foldable lens requires a small incision but is expensive as compared to a rigid lens and may not be affordable for poor patients. Methods: The present prospective study was done at the Ophthalmology Department at a tertiary care centre in Maharashtra. 100 eyes of 100 patients were included in the study. Depending on the type of intraocular lens implant inserted in the eyes of the patients, they were divided into two groups irrespective of the type of astigmatism. Results: The study comprised of 100 patients with 54 males and 46 females. Mean age in group I group II was 60.68 ± 11.8 years and 63.16 ± 9.32 years respectively. Mean Surgical induced astigmatism on day 42 in group I group II was 0.56 ± 0.5 and 0.62 ± 0.6 respectively with no statistically significant difference between the two groups. Also, there was no statistically significant difference between the two groups on day 42 with respect to corrected visual acuity. Conclusions: From study results it can be concluded that there were similar results with regard to surgical induced astigmatism and corrected visual acuity after Phacoemulsification cataract surgery using foldable PCIOL and rigid PCIOL implantation. Considering the patient affordability factor, Phacoemulsification cataract surgery with rigid (nonfoldable) lens implantation can be an acceptable option.