Efficacy of manual small incision cataract surgery in preventing the endothelial cell loss
Journal Title: MRIMS Journal of Health Sciences - Year 2016, Vol 4, Issue 4
Abstract
Background: Every year 5 million cataract surgeries are performed in India. Two major procedures are used to conduct cataract operations either MSICS/Phecoemulisfication. In both the procedures the loss of endothelial cells are observed. The present study is based on comparison of endothelial cell loss in both the procedures. Objectives: The aim of the study is to compare endothelial cell loss after manual small incision cataract surgery (MSICS) and Phacoemulsification by specular microscopy. Methods: Present study was conducted at Sarojini Devi Eye Hospital, Hyderabad from 2013-14. Total number of eyes studied was 100 in 100 study subjects who were age and sex matched and divided into two groups of 50 eyes of 50 study population. Group I patients underwent Phaecoemulsification & Group II with MSICS by the same operating surgeon from 2013-14. The patients were evaluated on first post operative day, first week, 6 weeks and 6 months for endothelial density. Endothelial density was evaluated through Specular Microscopy EM 3000, Tomey. Best image of 15 shots was taken to evaluate endothelial density. Results: Mean age in both the groups was 58 and 59 years. Equal number was taken sex wise in both the groups. The mean endothelial loss was 200 cells/mm2 & 250 cells/mm2 in Group I & II respectively. Conclusions: In phacoemulsification group, the maneuvering was performed in the capsular bag and newer advanced phacoemulsification units with better fluidics reduced the chances of endothelial damage. In MSICS group, Visco-expression of the nucleus significantly reduced the endothelial cell loss.
Authors and Affiliations
Nanda Kumar Reddy PV, Sunisha . , Atul Gupta
Keywords
Related Articles
- EP ID EP422628
- DOI -
- Views 111
- Downloads 0
Comparative study of total abdominal hysterectomy, vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy
Background: In 1934, Heaney 1st reported vaginal hysterectomy with few modifications and this method is favoured commonly in the preset days. In the early decades of 20th century, hysterectomy began to be used more often...
A clinical study of falciparum malaria with special reference to its complications among malaria patients
Back ground: Malaria is the most common cause of hemolytic anemia and other causes of anemia include defective erythropoiesis and reticulocyte production. Other hematological complications include thrombocytopenia and pl...
Laparoscopic evaluation of female factors in infertility
Background: Diagnostic laparoscopic evaluation for infertility is indicated for women who failed to achieve a successful pregnancy after twelve months or more of regular unprotected intercourse. Since approximately 85% o...
A Case report of Tubercular meningitis initially presenting as transient paraparesis
Tuberculosis is the world's leading cause of death from a single infectious agent and is caused by mycobacterium tuberculosis. Central nervous system tuberculosis is most serious complication of tuberculosis in children....
Left Ventricular Pseudo aneurysm: A case report
Rupture of the free wall of the left ventricle (LV) is a catastrophic complication occurring in 4% of patients after myocardial infarction (MI) and in 23% of those who die of MI. It is caused by myocardial rupture contai...