Nucleus division with McPherson forcep in Small Incision Cataract Surgery: A prospective study
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 9
Abstract
Introduction: Cataract is the major cause of blindness (62.6%) in India. Small incision cataract surgery (SICS) is a popular technique in Indian scenario. There are various techniques of small incision cataract surgery. Various techniques are used to decrease the size of incision in cataract surgery. In our technique McPherson forcep is used to divide the nucleus in two pieces. Aim and objective: To study the outcome of nucleus management with McPherson forcep in SICS. Material and methods: 250 patients of various grades of cataract operated with McPherson forcep during study period from Jan 2007 to December 2008. Results were documented. In this technique nucleus is made to stand vertical/ oblique in anterior chamber (A/C). Then the forcep is introduced with blades on both the sides of the nucleus and the nucleus is divided in two pieces with horizontal force. Divided pieces are delivered separately with viscoexpression. Results: out of 250 patients operated 136 (54.4%) were male and 114(45.6%) were female.211 (84.4%) of patients were from 51-70 yrs of age. 175 (70%) of patients were with Grade II and III nuclear cataract. 179 (71.60%) of patients operated through 5-6mm incision. 43(17.20%) patients required 4-5mm incision. 28(11.20%) patients required >6mm incision. 1 (0.4%) patient had intraoperative zonulodialysis. 23 (9.2%) had minimal corneal edema (<10 descemet’s folds) and 3(1.2%) patients had grade 1 iritis . Conclusion: with this technique incision size can be reduced to less than 6 mm in most of the patients. This is a safe, simple and economical procedure.
Authors and Affiliations
Dole N B, Mohite U S
Keywords
Related Articles
- EP ID EP180138
- DOI -
- Views 70
- Downloads 0
A case study of carcinoma of penis at tertiary care centre– Two years study
Objective: A Retrospective study for two years from January 2015 – December 2016 undertaken to determine the histopathological spectrum of Penile lesions. The objective of the study was to estimate the frequency of penil...
A prospective randomized controlled study comparing efficacy of 0.2% ropivacaine, 0.125% levo-bupivacaine and 0.5% lignocaine in epidural labour analgesia
Background: Lumbar epidural analgesia offers a safe and effective method of pain relief during labour. Low doses of local anesthetic or opioid combinations are administered (usually by infusion) to provide a continuous T...
Giant cell tumour of soft tissue arising from intra muscular region of thigh - A rare case report
Giant cell tumour arising from soft tissue is a rare condition, which is of low malignant potential resembling giant cell tumour of bone histologically, Also known as osteoclastoma of soft tissue. We report a case of 29...
Hemodynamic changes of intrathecal hyperbaric ropivacaine and bupivacaine in Lower abdominal surgeries- a comparative study
Introduction: Various drugs have been tried till date to get better anesthetic properties and minimal side effect. The newer drug Ropivacaine being comparatively less cardio toxic, also produces minimal motor blockade o...
Attenuation of sympathomimetic response to laryngoscopy and intubation: Comparative study of esmolol and labetalol treatment
Background: The sequence of induction of anesthesia, laryngoscopy and tracheal intubation are associated with marked hemodynamic changes and autonomic reflex activity which may be a cause of concern in many high risk pat...