Cornea sparing lasik is useful tool allowing surgeons to preserve the posterior stroma. The study comprised of prospective evaluation of 17 eyes treated with CSL -Cornea Sparing Lasik at Mahatme Eye Bank Eye Hospital, Nagpur India. Our results show that the laser ablation on the corneal flap is safe and effective procedure. The refractive, efficacy and safety outcomes were similar to those in routine Lasik ablation on posterior stroma.
Cataract surgery has evolved over the past few decades with progressive decrease in the size of the incision. Originally from 12 mm intracapsular incision to bimanual phacoemulsification (Micro-Phaco) that has incision size of just 700 microns. In the present comparative PROSPECTIVE study best corrected visual acuity postoperatively and surgically induced astigmatism were compared in routine Phacoemulsification technique and bimanual phaco (Micro-Phaco) 60 eyes were studied. There was no statistically significant difference in postoperative best corrected visual acuity (BCVA) of patients operated with Micro-Phaco or routine Phacoemulsification. There was difference in surgically induced astigmatism (SIA); average SIA in microphaco was 0.5972 as against 0.8328 in routine Phacoemulsification.
This was a prospective non comparative study conducted at Mahatme Eye Bank Eye Hospital, Nagpur, India. 175 eyes with Pseudo-exfoliation syndrome (PXF) undergoing cataract surgery by phacoemulsification were studied. The study aimed at finding out impact of age, gender, pre-operative Intra Ocular Pressure (IOP) and Anterior Chamber Depth (ACD) on the intraoperative complications of phacoemulsification surgery in these patients. It was found that association of age, gender and intraoperative complications was not significant (P value -0.0958). No significant impact of preoperative intraocular pressure and intraoperative complications was noted. The mean anterior chamber depth in complicated cases was 2.42 +/-0.37 as compared to 2.72 +/-0.43 in eyes without complications. The relation between these groups was statistically significant (P value = 0.031).
The manual extracapsular extraction of the lens is the surgical technique that is most practiced for the treatment of cataract in sub-Saharan Africa. Learning this technique requires the creation of a surgical simulation unit within training institutes. We describe the development stages of a traditional simulation unit. For this purpose, we present a description of four steps involved in the development of a simulation unit for cataract surgery: the physical creation of the room, the aseptic and antisepsis conditions, the management of the eyes, the development of a curriculum and the administrative policies.
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