Manual Small Incision Cataract Surgery: A Suitable Option for Resource-Poor Settings
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction: Phacoemulsification and manual small incision cataract surgery (MSICS) are sutureless surgeries with low complication rates and satisfactory visual outcomes. Compared to phacoemulsification, MSICS, a cost effective surgical technique, could better suit high volume surgery scenario of resource-poor settings. Objective was to compare preoperative macular thickness of patients undergoing uncomplicated phacoemulsification and MSICS and again postoperatively on days 1, 7 and 40 using optical coherence tomography (OCT). Material and Methods: Randomized study at Rotary Eye Hospital, Malegaon. Patients of age 35-85years having undergone uneventful phacoemulsification or MSICS were included. Patients with co-existing ocular pathologies were excluded. Examination included indirect ophthalmoscopy, slit lamp biomicroscopy with 90 D lens and macular thickness measurements preoperatively and on days 1, 7 and 40postoperatively using OCT. Results: Mean macular thickness in MSICS group was 187.71+/-17.22 μm preoperatively and 201.91+/- 18.95μm, 208.04+/- 18.66μm, 215.25+/- 19.38 μm, postoperatively on days 1, 7 and 40 respectively. Mean macular thickness in phacoemulsification group was 185.77+/- 15.64 μm preoperatively and 195.77+/-17.38 μm, 199.05+/- 16.87 μm, 203.76 +/- 17.48 μm postoperatively on days 1, 7and 40 respectively. Postoperative macular thickness (days 1, 7 and 40) was significantly higher in the MSICS group (p= 0.013, p<0.000 and p<0.000 respectively). There was neither clinical, nor OCT evidence of cystoid macular edema in either group. Conclusion: The subclinical increase in macular thickness was higher following MSICS. However, final visual outcome remained unaffected. For resource-poor settings, MSICS still serves as a good means of offering comparable visual outcomes.
Authors and Affiliations
Shailaja Karve, Hemangi Rathi, Ankush Kolte
Keywords
Related Articles
- EP ID EP430735
- DOI -
- Views 113
- Downloads 0
Seroprevalence of HBsAg, Anti-HCV and Co-infection among Liver Disease Patients: A Prospective Observational Trial
Introduction: The blood borne pathogens which are of considerable public health concern are HBV (Hepatitis B virus), HCV (Hepatitis C virus) and Co-infection. The mechanism of transmission for these are similar but the r...
A Study of Colour Doppler in High Risk Pregnancies
Introduction: Doppler ultrasound enables a better understanding of the hemodynamic changes and has therefore become one of the most important clinical tools for fetomaternal surveillance in high risk pregnancies. It can...
Incidence of Tuberculosis in Cervical Lymphadenopathy. A Clinico- Epidemiological Study
Introduction: Tuberculosis, one of the oldest diseases known to mankind is even today a leading cause of human suffering & loss of life in developing country like India. Tubercular lymphadenitis is the commonest form of...
Awareness regarding Eye Donation among Patients Attending Tertiary Care Hospital, Jammu, J&K, North India-Time to Educate People
Introduction: It is observed that corneal blindness affects 12% of world’s population which is amenable to treatment and main causes of corneal blindness are ocular trauma and corneal ulceration. The alarming figures ris...
Assessment of the Efficacy of a Score based System used for Assigning Various Specific Scores for Predicting Difficult Laparoscopic Cholecystectomy
Introduction: After its introduction in 1987, laparoscopic cholecystectomy (LC) brought a radical change in the treatment of patients with gallstones. Various studies have quoted that significant risk and complications h...