A Prospective Comparative Study of Astigmatism Following Manual Small Incision Cataract Surgery: Superior Verses Temporal Approach
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Introduction: Cataract surgery has become one of the most common and successful procedures in ophthalmology. In addition to improving visual acuity (VA), one of the goals of modern cataract surgery is to reduce pre-existing astigmatism (PEA), a factor that may reduce VA and affect the quality of vision. Materials and Methods: 100 patients of cataract attending to District Hospital Baramulla with the rule and against the rule astigmatism were included in the study. The astigmatic profile and the effect of surgical incision on astigmatism were studied. A prospective study was done in which patients were divided into two groups. MSICS was performed with superiorly located incision in group I and temporally located incision in group II. Results: Out of the total 100 patients undergoing MSICS, 59 patients had ATR, 36 patients had WTR and 5 patients had no astigmatism. Thus the pre-operative astigmatic profile shows that ATR is more common type of astigmatism in this group. Among 50 patients in superior incision group, 18 had pre-operative WTR, 29 had ATR and 3 did not have astigmatism. Postoperatively the no. of patients with WTR decreased to 10, the no. of patients with ATR increased to 35 showing that superior incision flattens vertical meridian and steepens the horizontal meridian causing ATR shift. Among 50 patients in temporal incision group, 18 had pre-operative WTR, 30 had ATR and 2 did not have astigmatism. Post operatively the no of patients with WTR increased to 25, the no of patients with ATR decreased to 20. Conclusion: Placement of incision on steep axis reduces pre-existing astigmatism. Thus in ATR astigmatism it is placed temporally and in WTR astigmatism it is placed superiorly. Thus a simple modification in incision placement can minimize surgically induced astigmatism and reduce pre-existing astigmatism
Authors and Affiliations
Dr. Abdul Aziz Makayee, Nilofar Nazir, Maroof Nabi, Saliya Ayoob
Keywords
Related Articles
- EP ID EP444747
- DOI 10.9790/0853-1801160104.
- Views 106
- Downloads 0
Prospective Evaluation of Maternal Morbidity and Mortality in Post-Caesarean Section Patients Admitted To Post Anaesthesia Intensive Care Unit
Introduction: The pregnant woman is usually young and in good health before she becomes critically ill; hence, her prognosis will be hopefully be better if she receives timely intensive care intervention. The objective w...
The Influence of Bone Density on Primary Implant Stability, and Clinical and Radiographic Outcome of Narrow Diameter Implants Supporting Mandibular Overdentures
Bone density plays an important role in the determination of dental implant outcome. Low bone density values can be associated with poor implant stability and increased marginal bone loss. Bone density assessment prior t...
An Interventional Cohort Study in Dengue Prevalent Area by Using Nilavembu Kudineer and Awareness Programme
Background: Dengue Fever is the most important vector-borne viral disease in tropical and subtropical areas. The Capital of the Kerala state, Thiruvananthapuram district is endemic to Dengue Fever because of the climatic...
Study of Histopathological Correlation of Breast Mass with Radiological and Cytological Findings.
Breast cancer is the most common and remains the second leading cause of death in women. Triple assessment of breast mass includes clinical examination, imaging and fine needle aspiration cytology or core biopsy. Fine ne...
Acute Spontaneous Intra Cranial Haemorrhage- A Clinical Study of 75 Cases at Lucknow
Objective: To study clinical features among the patients of acute spontaneous intra cranial haemorrhage (ASICH). Methods: This was a cross-section observational study. The study included 75 patients of ASICH belonging to...