COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details.,, Mob. 8826373757, 8826859373, 9910947804

Print ISSN:-2395-1443

Online ISSN:-2395-1451


Current Issue

Year 2020

Volume: 6 , Issue: 1

Article Access statistics

Viewed: 579

Emailed: 0

PDF Downloaded: 150

Indian Journal of Clinical and Experimental Ophthalmology

To compare surgically induced astigmatism in SICS using two different incision sites – “superior vs. temporal”

Full Text PDF Share on Facebook Share on Twitter

Author Details : Rohit Saxena, Poonam Kishore, Sandeep Saxena

Volume : 3, Issue : 4, Year : 2017

Article Page : 470-475

Suggest article by email


Cataract is one of the most important curable causes of blindness in India. Nowadays although the ‘cataract surgery of choice’ is phacoemulsification; manual small incision cataract surgery (SICS) has emerged as an alternative technique owing to its being cost-effective and having all advantages of a self-sealing sutureless incision but with the disadvantage of having higher postoperative astigmatism. The aim of our study was to compare the surgical outcome using two different incision sites – “superior and temporal” in terms of surgically induced astigmatism.
After taking Informed consent all the patients were divided randomly into two groups. Group S received Superior incision and group T Temporal incision. All surgeries were performed under peribulbar anesthesia using an incision size of 6 – 6.5 mm. The incision architecture was kept same in both the groups.
Postopratively patients were examined on days 1, 7, 30, 45 and 90. Keratometry with Uncorrected and Best corrected visual acuity was recorded on subsequent visits. The surgically induced astigmatism (SIA) was calculated by Vector method. When SIA was compared between the two groups, both in magnitude as well as axis, the change was found to be lower in temporal group as compared to superior group S. It was statistically significant (p=0.004).
We therefore conclude that though both the groups had good postoperative visual acuity patients of group S had more postoperative and surgically induced astigmatism and therefore greater dependence on spectacles as compared to group T and this was found to be statistically significant.

Keywords: Cataract, Small incision cataract surgery (SICS), Surgically induced astigmatism (SIA), Vector method

How to cite : Saxena R, Kishore P, Saxena S, To compare surgically induced astigmatism in SICS using two different incision sites – “superior vs. temporal”. Indian J Clin Exp Ophthalmol 2017;3(4):470-475

Copyright © 2017 by author(s) and Indian J Clin Exp Ophthalmol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (