Indian Journal of Clinical and Experimental Ophthalmology


Cataract Surgery by small incision a better alternative to phacoemulsification- A comparative study


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Article Type : Research Article

Author Details: Ravindra Naik K,N Maheshwara*

Volume : 5

Issue : 3

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 287

Article End Page : 291


Abstract

Introduction: The World Health Report estimated that there were 19.34 million people who are bilaterally blind from age-related cataract. The number of blind people in the world and the proportion due to cataract is increasing due to: population growth will increase to around 800 million in 2020 improve, the degree of visual loss. Our study was to evaluate SICS as a substitute to Phacoemulsification by comparing clinical parameters, astigmatism, visual acuity and post-operative complications.
Materials and Methods: This is a prospective study of 30 patients, assigned for cataract surgery by small incision (15 cases) and Phacoemulsification (15cases).Patients were selected evaluated and IOL power calculation was done by using SRK II formula. 30 subjects were choosen who were above age of 50yrs.
Results: Mean Pre-operative Astigmatism in both SICS group and Phacoemulsification group is 0.68D, and Mean Post- operative Astigmatism SICS group and Phacoemulsification group is 1.68D and 1.65D respectively. In both cataract surgery by small incision and Phacoemulsification statistically significant post-operative shift to ATR Astigmatism was 86.70% and 76.70%. At 6 weeks follow up, >90.00% patients in the Phacoemulsification group as well in the SICS group had BCVA of better than or equal to 6/18. The post-operative complications are and corneal oedema, Striate Keratopathy and Post operative anterior Uveitis in both SICS and Phacoemulsification groups respectively.
Conclusion: Cataract surgery by small incision wound healing is fast, postoperative complications are few and less frequent follow-ups and minimal damage to coreneal endothelium. So MSICS has an edge over phacoemulsification, because off its low cost and least learning curve.

Keywords: Cataract surgery, Post- operative astigmatism, Phacoemulsification, Small incision.

Doi :-https://doi.org/10.18231/j.ijceo.2019.069