Manual small incision cataract surgery (MSICS) with posterior chamber intraocular lens versus phacoemulsification with posterior chamber intraocular lens for age-related cataract

Riaz, Yasmin; Silva, Samantha De; Evans, Jennifer R

doi:10.1002/14651858.cd008813.pub2

Cited by 67 publications

(58 citation statements)

References 27 publications

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“…9 Trials were conducted in India, Nepal and South Africa. Follow up ranged from one day to six months, but most trials reported at six to eight weeks after surgery.…”

Section: Resultsmentioning

confidence: 99%

Pseudophakic cystoid macular edema after uneventful small incision cataract surgery

Ghelani¹,

Sheikh

Shastri

et al. 2017

Int J Res Med Sci

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Background: To study the clinical profile of patient undergone small incision cataract surgery. To measure the incidence of CME after manual SICS and phacoemulsification method of cataract extraction.Methods: It`s a hospital based prospective study carried in ophthalmology dept. patients with normal clinical profile with no history of hypertension, diabetes mellitus, or any ocular trauma or infection/inflammation are randomly selected for cataract surgery either phacoemulsification or manual SICS and were regularly followed till sixth week after cataract surgery. During follow up complete examination including visual acuity, anterior segment examination fundoscopy and FFA done.Results: Out of 115 patients, 59 were operated by phacoemulsification and 56 were operated by manual SICS. 59were operated by phaco, 9 patients lost in follow up. Out of these, 2 patients developed CME. One was operated by phaco and the other by SICS (P value = 1.000) BCVA 6/9 or more after second follow up was seen in 42.45% of phaco patients and 40.56% of SICS patients which is statistically insignificant (P value = 0.343607).Conclusions: With advent of modern cataract surgery, rapid visual rehabilitation and unaided best corrected visual acuity is achieved with negligible early and late postoperative complications and thereby cystoid macular edema.

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“…9 Trials were conducted in India, Nepal and South Africa. Follow up ranged from one day to six months, but most trials reported at six to eight weeks after surgery.…”

Section: Resultsmentioning

confidence: 99%

Pseudophakic cystoid macular edema after uneventful small incision cataract surgery

Ghelani¹,

Sheikh

Shastri

et al. 2017

Int J Res Med Sci

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show abstract

“…A recent Cochrane review (2012) found more patients achieved unaided vision of ≥6/12 following SICS than extracapsular cataract extraction, traditionally the surgical approach used in low‐resource countries . Furthermore, some studies suggest SICS may actually achieve similar best corrected vision to phacoemulsification, with the advantage of SICS being considerably cheaper …”

Section: Introductionmentioning

confidence: 99%

“…6 Furthermore, some studies suggest SICS may actually achieve similar best corrected vision to phacoemulsification, with the advantage of SICS being considerably cheaper. 4,7,8 Although the provision of eye care services in the developing world is critical, providers of such care must ensure these services meet best clinical care and the quality standards as specified by the World Health Organisation. 9 Unfortunately, the analysis of surgical outcomes following cataract surgery in low resources settings have been limited by retrospective data collection methods, incomplete clinical documentation and poor patient attendance at follow-up visits.…”

Section: Introductionmentioning

confidence: 99%

Short‐term outcomes of small incision cataract surgery provided by a regional population in the Pacific

Bhikoo

Vellara

Lolokabaira

et al. 2017

Clinical Exper Ophthalmology

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“…9,10 However, a recent meta-analysis showed that phacoemulsification was more likely than SICS to give an uncorrected visual acuity of 6/18 or better soon after surgery. 11 The equipment required for phacoemulsification is expensive and this technique has not been widely adopted in lower-income settings. However, ophthalmologists in LMICs are buying phacoemulsification machines to provide this service to wealthier patients paying high fees.…”

Section: Introductionmentioning

confidence: 99%

Foldable vs rigid lenses after phacoemulsification for cataract surgery: a randomised controlled trial

Hennig¹,

Puri²,

Sharma³

et al. 2014

Eye

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Purpose To compare the outcomes of phacoemulsification with either a 2.5-mm clear corneal incision and a foldable intraocular lens (IOL) or a 5-mm sclerocorneal tunnel incision and a rigid polymethyl methacrylate (PMMA) IOL. Methods In a prospective, randomised clinical trial of phacoemulsification cataract surgery, 1200 patients received either a foldable hydrophilic acrylic IOL through a 2.5-mm corneal incision or an inexpensive rigid PMMA IOL via a 5-mm sclerocorneal tunnel. Intra-and post-operative data and visual acuity at discharge, 6 weeks, and 1 year follow-up were analysed.Results At 1 year after surgery, 996 (83.0%) patients were followed up with an uncorrected visual acuity of 6/18 or better in 90.3% of the foldable and 94.3% in the rigid IOL group (risk ratio (RR) 0.96, 95% confidence intervals (CI) 0.92-0.99). Poor outcome (best-corrected acuity 6/60 or worse) occurred in 1.0% and 0.4%, respectively (RR 4.28,). The surgical cost of consumables and overall surgical time were similar in both groups; however, the cost of the foldable IOL was eight times higher than the PMMA IOL. Posterior capsule opacification was more common in the rigid IOL group at 12 months (36.1% vs 23.3%); however, this did not affect postoperative vision. Conclusion In the hands of experienced cataract surgeons, phacoemulsification with implantation of a foldable or a rigid IOL gives excellent results. Using an inexpensive rigid PMMA IOL will make phacoemulsification more affordable for poor patients in low-and middle-income countries.

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Manual small incision cataract surgery (MSICS) with posterior chamber intraocular lens versus phacoemulsification with posterior chamber intraocular lens for age-related cataract

Abstract: Manual small incision cataract surgery (MSICS) with posterior chamber intraocular lens versus phacoemulsification with posterior chamber intraocular lens for age-related cataract.

Cited by 67 publications

References 27 publications

Pseudophakic cystoid macular edema after uneventful small incision cataract surgery

Pseudophakic cystoid macular edema after uneventful small incision cataract surgery

Short‐term outcomes of small incision cataract surgery provided by a regional population in the Pacific

Foldable vs rigid lenses after phacoemulsification for cataract surgery: a randomised controlled trial

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