A clinical study on phacoemulsification versus manual small incision cataract surgery in rural hospital setting
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 1
Abstract
Introduction and Objectives A prospective randomized control study was conducted to compare the manual small incision cataract surgery with phacoemulsification in hospital with objectives to study main out come measures uncorrected visual acuity on post operative day 1 best corrected visual acuity post operative day 6 weeks and study secondary outcome in terms of complication rates effect of ocular and systemic co morbidity on visual acuity out comes and operative time takenMaterials and Methods 100 patients with age related cataract were randomly assigned Phacoemulsification and SICS groups group A n50 and group B n50 respectively with written informed consent and ethical clearanceResults There was no significant difference between techniques regarding uncorrected visual acuity on post operative day 1 and best corrected visual acuity on post operative day 6 weeks However visual acuity on post operative day 1 showed suggestive significance of ldquoprdquo value 0064 between the two groups Greater proportion of patients had good outcomes in both the groups as regards to final visual acuity at the end of 6 weeks showing ldquoprdquo value 0310 with Fisher Exact test Both comorbidities showed no difference in term of events Mean surgical time was in group A 1597 202 and in group B 840 134 showing a significant ldquoprdquo value of less than 0001 using student t testConclusion Manual small incision cataract surgery is similar to phacoemulsification as regards to intra and post operative outcomes decreased complication rates final visual acuity with minimal effect of co existing comorbidities on eventsKeywords Comorbidity Complication rates MSICS Phacoemulsification Operative time Visual acuity
Authors and Affiliations
Pavan Kumar Reddy. D, * Dr. , E. Ramlal
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