A Comparative Study of Surgically Induced Astigmatism in Various Incisions in Manual Sutureless Small Incision Cataract Surgery
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 12
Abstract
Objective: To determine surgically induced astigmatism (SIA) in Chevron (inverted V shape), frown, Boat shaped and straight incisions in manual small incision cataract surgery conducted in patients admitted in RIMS, Srikakulam. Material and Methods: study was conducted in patients getting admitted for cataract surgery in Rajiv Gandhi Institute of medical Sciences, Srikakulam, Andhra Pradesh. 100 patients were randomly selected who are above 40 years of age and senile cataract. They were divided into 4 groups with 25 each in each group. All four groups underwent similar manual incision cataract surgery with carefully placed intraocular lenses. Only difference between 4 groups is the type of incision during the beginning of cataract surgery. Patients were compared 6 weeks post operatively for uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA) and surgically induced astigmatism. The datas obtained were tabulated and analyzed statistically using paired and unpaired t test and chi square test using SPSS version 17 software. Observation: In our study Chevron incision produced minimal astigmatism with maximum patients (48%) with astigmatism between 0.5-1D. Followed by (36%) in 0.6-1D. Frown and boat shaped incisions showed almost similar results. There was significantly small difference between them which was negligible. in Frown incision maximum patients (44%) had astigmatism 1.1-1.5D followed by(28%) 0.5- 1D. in boat shaped incision maximum patients(36%) were seen in 1.1-1.5D followed by(28%) 0.5-1D. straight incision showed significantly higher astigmatism with maximum patients (40%) between 1.1- 1.5D. Conclusion: Chevron incision (inverted V incision) induced significantly less surgically induced astigmatism followed by frown incision and boat shaped incision. Straight incision caused maximum surgically induced astigmatism.
Authors and Affiliations
Dr Rajkumar Patra
Keywords
Related Articles
- EP ID EP519851
- DOI -
- Views 77
- Downloads 0
Influence of BMI in Pulmonary Function Test in Diabetic Subjects
Obesity is associated with higher incidence of diabetes mellitus (DM). A variation in anthropometric indexes influences co-dependent relationship of pulmonary function and diabetes. Studies have shown that decrease in gl...
Self Ligating Bracket Vs Conventional Bracket
Aim: This review article examines evidence regarding treatment duration, influence on arch form and the speed of tying and untying self ligating brackets compared with conventional bracket, methods of ligation and its ad...
Endoscopic and Histopathologic Features in Patients of Portal Hypertensive Duodenopathy
Objective: The aim of study is to describe the frequency of PHD in portal hypertension patients and its various clinical, endoscopic and histopathologic features. Methods: Ninety four patients with cirrhosis and portal h...
Clinical and Metabolic changes after the Non- surgical Periodontal Therapy in patients with Type-2 Diabetes Mellitus with Chronic periodontitis with or without the Systemic administration of Azithromycin - A Randomized Controlled Clinical Trial
Background & Objectives: There is growing evidence that periodontitis may affect general health. Periodontal disease is now recognized as the sixth complication of diabetes. It has been suggested that an alteration in gl...
Introduction of Time and Stress Management Workshop in 1st Year Medical Students: Perception of Students
Objective: One of the major reasons of stress specially among medical students is lack of proper time management. If stress and time mismanagement are not taken care of, it may lead to psychological disturbances, leading...