STUDY OF MANUAL SMALL INCISION CATARACT SURGERY CASES IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 37
Abstract
BACKGROUND Cataract surgery is done on a large scale in tertiary care centres in India. Because of large pool of patients requiring cataract surgery we require a procedure which is easy, cheap, effective, free from complications and with good outcome. We need to train our surgeons in fulfilling the need of the nation. MATERIALS AND METHODS We have selected 1051 patients selected for cataract surgery with MSICS procedure from February 2016 to December 2016. They were investigated thoroughly for comorbidities like Hypertension, diabetes, Asthma or COPD. Smoking history of the patients was recorded. Patients with active Pulmonary TB and Glaucoma were excluded from the study. These patients were followed through surgery for intraoperative and postoperative complications. Acuity of vision was checked on first POD and after 6 weeks of surgery. Astigmatism was assessed at the end of six weeks after surgery. RESULTS 80% of these patients presented in above 50 years of age group. Nearly 50% of these patients presented with a vision of counting fingers to 6/60. Male: Female ratio among our patients is 1.4:1. The habit of smoking was observed in nearly 50% of our patients. Important comorbidities included Diabetes with or without hypertension, asthma and COPD. Intraoperative complications like difficult cortical aspiration, posterior capsular rent and difficult nuclear prolapse were observed. Postoperative complications like striate keratopathy, postoperative anterior uveitis and hyphaema were observed. Most of these complications are not vision threatening. 80% of the patients had satisfactory vision of > 6/18 at end of six weeks after surgery. Astigmatism was seen in around 20.94% of patients, but a majority of them had an astigmatism of 1 to 2D and was correctible. Summary- MSICS is a useful technique for Cataract surgery. It is safe and effective. The results are comparable to Phacoemulsification with satisfactory vision restoration. CONCLUSION MSICS is a simple and safe technique for cataract surgery and can be recommended in camp and hospital conditions, especially in resource poor countries.
Authors and Affiliations
Nagasree D. V. C, Ramakrishna Rachakonda
Keywords
Related Articles
- EP ID EP219076
- DOI 10.18410/jebmh/2017/431
- Views 87
- Downloads 0
VARIOUS CLINICAL PRESENTATIONS OF CHIKUNGUNYA FEVER AND ITS OUTCOME
BACKGROUND Chikungunya is an emerging and rapidly spreading disease with varied clinical scenario/presentations, affecting largely areas colonized by the Aedes mosquito. Diagnosing, treating of Chikungunya fever and post...
A CLINICAL STUDY AND SURGICAL MANAGEMENT OF CARCINOMA OESOPHAGUS AT KIMS, HUBLI
BACKGROUND Carcinoma oesophagus is aggressive tumour with poor prognosis occurring in mid to late adulthood with most cases presenting in the late stages. Surgical therapy remains the main stay therapy. Survival rate var...
IS GROUP A B-HAEMOLYTIC STREPTOCOCCUS PREVALENT AMONG THE CHILDREN WITH TONSILLO-PHARYNGITIS
BACKGROUND The morbidity due to Tonsillo-Pharyngitis in children following a Group A Streptococcus (GAS) is very important in ENT practice. It accounts to more than 25% of all the bacterial infections. The aim of this st...
EMERGENCY MANAGEMENT OF TRAUMATIC DENTAL INJURIES AMONG NURSING INTERNS- CRONBACH’S ALPHA RELIABILITY ANALYSIS AND PERCENTAGE ANALYSIS
BACKGROUND Nursing interns play substantial role in the department of emergency, and they are in the first line health-care service in trauma. Responsive dealing by them becomes the influential factor for the prognosis o...
A CLINICAL STUDY OF DIAGNOSTIC HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING AND ITS HISTOPATHOLOGICAL CORRELATION
BACKGROUND Abnormal uterine bleeding (AUB) is a common problem mainly seen in peri-menopausal and post-menopausal women. AUB has a negative impact on quality of life and in turn affects the efficiency of women. Hysterosc...