SAFETY AND EFFICACY OF MANUAL SMALL INCISION CATARACT SURGERY IN A RURAL HEALTH CARE SETTING IN TAMILNADU
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 64
Abstract
BACKGROUND MSICS demands skill and patience from the cataract surgeon. It is a safe, effective and economical alternative to competing techniques and can be the answer to tackle the large backlog of blindness due to cataract. Cataract is defined as any opacity of lens and its capsule. It is the commonest cause of avoidable blindness in India (50% - 80%). Cataract surgery has been there since 28th century. It is treated by various methods. It has undergone great refinement in recent years from age old couching to sutureless surgery and phacoemulsification. MATERIALS AND METHODS This prospective case series is done on 50 patients undergoing manual SICS in Department of Ophthalmology, Rajah Muthiah Medical College and Hospital over a period from October 2015 to March 2016. All patients who were fit to undergo manual small incision cataract surgery during the above-mentioned period were included in the present case series. RESULTS This prospective case series which involved 50 patients and conducted between October 2015 and March 2016 revealed the mean age of presentation was 58 years. The commonly affected age group was 51 – 60 years (32%). Female patients constituted 60% of the case series population. Left eye was involved in 60% of the cases. Most common intraoperative complication was difficulty in delivering the nucleus into anterior chamber, 8%. Least common complications were PC rent, primary PCO, Zonular dehiscence and premature entry each accounting for 2%. Most common postoperative complication was iritis 14% and least common complication was corneal oedema 2%. CONCLUSION Manual Small Incision Cataract Surgery is small incisioned, sutureless, self-sealing and safe cataract surgery. Manual SICS has a less steep learning curve than Phacoemulsification. Manual SICS is cost effective when compared to Phacoemulsification and is the choice of surgery in high volume centres and developing countries. Manual SICS has a lower complication rates as compared to conventional ECCE. Manual SICS has similar intraoperative and postoperative complication rate as compared to Phacoemulsification.
Authors and Affiliations
Sridevi V, Ramya P
Keywords
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- EP ID EP231497
- DOI 10.14260/Jemds/2017/1011
- Views 72
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