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Visual outcome and complications of phacoemulsification and manual small incision cataract extraction for age related cataract

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Original Article

Author Details : Garima Agrawal*, Damini Patel

Volume : 10, Issue : 1, Year : 2024

Article Page : 170-175

https://doi.org/10.18231/j.ijceo.2024.030

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Abstract

Background: The purpose of this study is to compare visual outcome and complications of manual small incision cataract surgery (MSICS) with posterior chamber IOL implantation (PC-IOL) and phacoemulsification with posterior chamber IOL implantation for age related cataract. The study compares the visual outcome and complications of MSICS and phacoemulsification with PC-IOL performed in 80 eyes at M & J Western Regional Institute of Ophthalmology (M&J WRIO) Ahmedabad, by assessing post operative Best corrected Visual acuity (BCVA), Surgically Induced astigmatism (SIA) and complications.
Materials and Methods: This was an Institutional based cohort interventional randomized, prospective study. MSICS and Phacoemulsification was performed on 80 eyes at M & J WRIO. The intraoperative complications were documented. The parameters that were examined on 1 postoperative day, 1 week, and 6 weeks postoperatively included uncorrected visual acuity, best corrected visual acuity (BCVA) at 6 weeks, intra ocular pressure by non -contact tonometry and keratometry at 6 weeks to rule out SIA.
Statistical analysis was performed using chi square test. p value <0> Results: MSICS & phacoemulsification had similar visual outcomes post-operatively. Phacoemulsification group produced less mean SIA (1.27 D) compared to MSICS group (1.29 D) and lesser (5%) complications than the MSICS group (10%). The comparison of all three parameters was not statistically significant between the two groups.
Conclusions: Visual outcomes, SIA and complications were comparably the same in MSICS & phacoemulsification. Therefore, MSICS can be excellent alternative to phacoemulsification.
 

Keywords: Phacoemulsification, Manual small incision cataract surgery, Visual outcome, Surgically Induced astigmatism.

How to cite : Agrawal G, Patel D, Visual outcome and complications of phacoemulsification and manual small incision cataract extraction for age related cataract. Indian J Clin Exp Ophthalmol 2024;10(1):170-175

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