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 123
- Downloads 0
To Study the Prevalence of DVT in Patients with Surgeries around Knee
Introduction: The presence of thrombus within deep veins of the extremity is termed as deep vein thrombosis (DVT). If not recognized deep venous thrombi can embolize to pulmonary arterial circulation which can be fatal w...
A Clinico-Pathological Study of 120 Cases of Ovarian Tumors in a Tertiary Care Hospital
Introduction: Ovarian tumors present with a wide spectrum of clinical, morphological and histological features. Clinically, they may be misdiagnosed with other non-neoplastic conditions. Early diagnosis is difficult due...
Posterior Uterine Wall Rupture during Labour in Primigravida - A Rare Case Report
Introduction: Uterine rupture is an obstetrics emergency having major maternal and fetal morbidity and mortality. Case report: Here we report a rare case of rupture of posterior wall of uterus especially in primigravida....
Prevalence of Elevated Anti-Thyroid Peroxidase Antibodies in Subclinical Hypothyroidism
Introduction: Autoimmune thyroiditis is a common cause of subclinical hypothyroidism (SCH). The progression of SCH to overt hypothyroidism depends on multiple factors of which elevated thyroid peroxidase antibody (anti-T...
Evaluation of Patients with Swallowing Difficulties by Modified Barium Swallow
Introduction: Swallowing disorders can occur at any age but it is more common in the elderly patients. Neurological causes and malignancy account for the main reason in most of the cases. The modified barium swallow prov...