Comparison of Complications between Manual Small Incision Cataract Surgery and Phacoemulsification

Abstract

Purpose: To compare per-operative and early post-operative complications between Manual Small Incision cataract surgery and Phacoemulsification in patients with Senile Cataract.
 Study Design: Quasi experimental study.
 Place and Duration of Study: Al-Ibrahim Eye Hospital Karachi from December 2018 to October 2019.
 Methods: Two hundred and seventy patients with senile Cataract were recruited for this study by convenient sampling technique. They were divided equally into two groups. Group I underwent Manual Small Incision Cataract Surgery (MSICS), whereas Group II underwent Phacoemulsification. Per-operative and early post-operative complications were recorded on day 1 in both groups. Data was analyzed using SPSS 24.0. Independent t-test was carried out with P-value of ≤0.05 was considered statistically significant.
 Results: Mean age group – I was 54.95 ± 11.0 and in Group – II was 57.09 ± 10.59 (p = 0.546). There were 72 (53.3%) males in group – I and 74 (54.8%) in group – II with a non-significant difference (p-value > 0.01). There was significant difference for posterior capsule rupture and striate keratitis between the two groups (p = 0.031 and 0.044 respectively). Rest of the study parameters was not statistically different in the both group. None of the groups had a nucleus drop and vitreous prolapse. No significant difference was seen between the two groups concerning iris trauma (p = 0.56), wound leakage (p = 0.15) and hyphema (p = 0.32).
 Conclusion: There is no significant difference between per-operative and early post-operative complications between MSICS and Phacoemulsification in patients with senile cataract except posterior capsular rupture and striate keratopathy which were more common in phacoemulsification group.
 Key Words: Cataract, Senile Cataract, Phacoemulsification, Small Incision Cataract Surgery.

A case of cataract surgery using phacoemulsification in a 12-year-old poodle

“…Since this product has lower jelly-like properties and a higher moisture content compared to existing viscoelastics, it is easier to remove after surgery. POH due to visco-elastic agents is reported to be the most serious postoperative sequelae occurring after all types of cataract surgery including cataract surgery in humans (Bhutto et al, 2021). Therefore, to prevent POH, Cosopt solution was instilled in the operated eye for 3 weeks after surgery.…”