Outcome of surgery in a manual small incision cataract surgery training in Calabar, Nigeria

Nkanga, DG; Asana, UE; Etim, Bassey; Ibanga, AA; Nkanga, ED

doi:10.4103/2278-9596.158824

Cited by 2 publications

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“…These findings were comparable with the reports of Jha and Vats,[ 6 ] Jauhari et al ,[ 7 ] and Nkanga et al . [ 8 ] They found that the maximum number of patients were within the age range of 40–80 and 61–70 years, with an M: F ratio of 1.7:1.…”

Section: Discussionmentioning

confidence: 99%

Visual outcome after manual small-incision cataract surgery by viscoexpression technique

Kumar

Kaur

Chadha

et al. 2022

Indian Journal of Ophthalmology

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Purpose: Globally, cataracts have remained the major cause of blindness. Cataract accounts for 62.6% of blindness affecting 9–12 million people. The only treatment for cataracts is surgical removal of cataracts. The surgical procedures include phacoemulsification and extracapsular cataract extraction (ECCE). In India, there is a huge backlog of cataract patients. Phacoemulsification is preferred nowadays for early visual rehabilitation, but in developing countries like ours, where facilities are not widely available, small-incision cataract surgery (SICS) is a cost-effective alternative as no machine is required. Also, it provides early visual rehabilitation as it is sutureless when compared to ECCE. So, manual SICS has emerged as a substitute for phacoemulsification and ECCE. The aim of the study was to evaluate the visual acuity and surgically induced astigmatism in patients more than 40 years of age, undergoing manual SICS with nucleus management by viscoexpression technique. Methods: This was a prospective study that included 50 patients over the age of 40 years undergoing manual SICS at a tertiary health-care center in North India by viscoexpression technique. Only those patients whose functional visual disability could be attributed to cataracts were included in the study. Preoperative and postoperative astigmatism were analyzed in the first, fourth, and sixth weeks. Results: Fifty patients who were undergoing manual SICS were analyzed. Preoperative best-corrected visual acuity (BCVA) and astigmatism were compared to postoperative BCVA and astigmatism. Of 50 patients, 48 (96%) patients were able to gain good vision after 6 weeks. Conclusion: This study showed early visual rehabilitation with less surgically induced astigmatism following manual SICS by viscoexpression technique.

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Section: Discussionmentioning

confidence: 99%

Visual outcome after manual small-incision cataract surgery by viscoexpression technique

Kumar

Kaur

Chadha

et al. 2022

Indian Journal of Ophthalmology

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Safety and Efficacy of Manual Small Incision Cataract Surgery in a Rural Health Care Setting in Tamilnadu

Sridevi¹,

P²

2017

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BACKGROUND MSICS demands skill and patience from the cataract surgeon. It is a safe, effective and economical alternative to competing techniques and can be the answer to tackle the large backlog of blindness due to cataract. Cataract is defined as any opacity of lens and its capsule. It is the commonest cause of avoidable blindness in India (50% -80%). Cataract surgery has been there since 28 th century. It is treated by various methods. It has undergone great refinement in recent years from age old couching to sutureless surgery and phacoemulsification. MATERIALS AND METHODSThis prospective case series is done on 50 patients undergoing manual SICS in Department of Ophthalmology, Rajah Muthiah Medical College and Hospital over a period from October 2015 to March 2016. All patients who were fit to undergo manual small incision cataract surgery during the above-mentioned period were included in the present case series. RESULTSThis prospective case series which involved 50 patients and conducted between October 2015 and March 2016 revealed the mean age of presentation was 58 years. The commonly affected age group was 51 -60 years (32%). Female patients constituted 60% of the case series population. Left eye was involved in 60% of the cases. Most common intraoperative complication was difficulty in delivering the nucleus into anterior chamber, 8%. Least common complications were PC rent, primary PCO, Zonular dehiscence and premature entry each accounting for 2%. Most common postoperative complication was iritis 14% and least common complication was corneal oedema 2%. CONCLUSIONManual Small Incision Cataract Surgery is small incisioned, sutureless, self-sealing and safe cataract surgery. Manual SICS has a less steep learning curve than Phacoemulsification. Manual SICS is cost effective when compared to Phacoemulsification and is the choice of surgery in high volume centres and developing countries. Manual SICS has a lower complication rates as compared to conventional ECCE. Manual SICS has similar intraoperative and postoperative complication rate as compared to Phacoemulsification. KEYWORDS Cataract Surgery, Intraoperative and Postoperative Complications, MSICS.HOW TO CITE THIS ARTICLE: Sridevi V, Ramya P. Safety and efficacy of manual small incision cataract surgery in a rural health care setting in Tamilnadu.

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Outcome of surgery in a manual small incision cataract surgery training in Calabar, Nigeria

Cited by 2 publications

References 0 publications

Visual outcome after manual small-incision cataract surgery by viscoexpression technique

Visual outcome after manual small-incision cataract surgery by viscoexpression technique

Safety and Efficacy of Manual Small Incision Cataract Surgery in a Rural Health Care Setting in Tamilnadu

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