Manual small incision cataract surgery

Bernhisel, Ashlie; Pettey, Jeff H.

doi:10.1097/icu.0000000000000624

Cited by 31 publications

(24 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study is comparable to the Aravind study on resident learning curve in terms of percentage of postoperative complications and surgical re-intervention. 6 This shows similar efficiency of all junior surgeons across the world requiring focused and effective training to eventually lead them to experts in patient care.…”

Section: Discussionmentioning

confidence: 77%

“…5 Manual small incision cataract surgery is the most commonly performed cataract surgery across all training institutes in India. 6 Retrospective analysis of the literature shows many published data regarding the resident learning curve for phacoemulsification, but there are only three published studies about MSICS. [6][7][8] Hence, we need a larger database from various centers to develop a universal resident training program.…”

Section: Introductionmentioning

confidence: 99%

“…6 Retrospective analysis of the literature shows many published data regarding the resident learning curve for phacoemulsification, but there are only three published studies about MSICS. [6][7][8] Hence, we need a larger database from various centers to develop a universal resident training program. To the best of our knowledge, the only article depicting the resident training curve and adverse events related to surgery was from a tertiary care centre in southern India.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes

Subudhi¹,

Patro²,

Subudhi³

et al. 2021

OPTH

View full text Add to dashboard Cite

Purpose: To show the surgical and visual outcomes of a resident-performed manual small incision cataract surgery. Study Type: Retrospective observational case series. Study Setting: Ruby Eye Hospital. Materials and Methods: Manual small incision cataract surgery was performed on 339 uncomplicated cataract cases by three in-house residents. Preoperative visual acuity and vision with a pinhole were meticulously noted in the record sheets. All patients underwent thorough preoperative evaluation with the help of a slit lamp. Eyes with corneal guttae, undilated pupils, pseudo-exfoliation, raised intraocular pressure and posterior segment abnormalities were excluded from the study. The mean patient age was 59 years (min: 47 years and max: 85 years). Forty-seven percent were males, and the rest were females. The mean uncorrected preoperative visual acuity recorded was 1.3 logMAR units (max: 1 and min: 1.6, Std dev: 0.4). Forty-two percent of the eyes had dense nuclear cataracts (≥ Nuclear Sclerosis grade III from LOCS II). Results: The mean postoperative visual acuity recorded was 0.4 logMAR units [standard deviation 0.3 logMAR units (max: 1 and min: 0.1 p-value <0.001)]. Forty-three cases (12.6%) had tunnel-related complications (premature entry/button hole). Thirty-six cases (10.6%) had iatrogenic prolapse of the iris tissue. Eight cases (2.3%) had a runaway capsulorhexis, while 18 cases (5.3%) had iatrogenic posterior capsular rupture. Two cases (0.58%) had a large zonular dialysis. Ten cases (2.9%) were retaken to the operating room again for repeat intervention. Conclusion:The ophthalmic resident learning curve for manual small incision cataract surgery is steep, unlike what is reported in the literature. A good training program with a special emphasis on wound construction is of paramount importance for future residents.

show abstract

Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes

Subudhi¹,

Patro²,

Subudhi³

et al. 2021

OPTH

View full text Add to dashboard Cite

show abstract

“…Cataract is the principal cause of blindness worldwide, leading to at least 53 million people blind up to now [1]. Phacoemulsification combined with intraocular lens (IOL) implantation, the standard cataract surgery internationally, has the advantages of safe, effective, time-saving, and short recovery time, but the lens capsule opacification happening after operation has a severe impact on the comeback of patients' visual function.…”

Section: Introductionmentioning

confidence: 99%

Research Progress of Drug Prophylaxis for Lens Capsule Opacification after Cataract Surgery

Zhang

Xie

2020

Journal of Ophthalmology

View full text Add to dashboard Cite

Phacoemulsification combined with intraocular lens (IOL) implantation is the international standard operation procedure for cataract and has been generalized worldwide. However, lens capsule opacification, one of the common complications after cataract surgery, impacts the recovery of patients’ visual function to a large extent. Lens capsule opacification has two types, anterior capsule opacification (ACO) and posterior capsule opacification (PCO), according to the location. There is not an accepted approach to treat ACO. Nd : YAG laser capsulotomy, the common treatment of PCO, can effectively improve the vision, but may cause a series of complications and is inappropriate for children who are too young to cooperate with this treatment. It is generally known that the responses of lens epithelial cells (LECs) after cataract surgery, including cell proliferation, migration, and epithelial-mesenchymal transition (EMT), play a key role in the pathogenesis of lens capsule opacification. Scholars found that substantial drugs can reduce the occurrence of lens capsule opacification by inhibiting, clearing, or killing LECs, and made great efforts as well as innovations on the exploration of drug species or modes of administration. This article is a systematic interpretation and elaboration about how to prevent lens capsule opacification after cataract surgery via different drugs.

show abstract

“…

The global burden of blindness due to cataract is estimated to be 53 million, with manual small incision cataract surgery (SICS) playing a significant role in reducing the cataract burden [1]. It is the leading cause of blindness in developing countries [2].

…”

mentioning

confidence: 99%

Assessment of wound integrity in manual small incision cataract surgery in a tertiary hospital in South India

Ramani

2021

Ophthalmol J

View full text Add to dashboard Cite

Manual small incision cataract surgery

Cited by 31 publications

References 31 publications

Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes

Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes

Research Progress of Drug Prophylaxis for Lens Capsule Opacification after Cataract Surgery

Assessment of wound integrity in manual small incision cataract surgery in a tertiary hospital in South India

Contact Info

Product

Resources

About