Original Research Article
Year: 2022 | Month: February | Volume: 9 | Issue: 2 | Pages: 1-5
DOI: https://doi.org/10.52403/ijrr.20220201
Visual Outcome of Manual Small Incision Cataract Surgery and Phacoemulsification in a Tertiary Care Center
Hina Kounsar1, Suhail Raheem Rather2, Sheikh Sajjad3, Uroosa Farooq4
1Department of Ophthalmology, SKIMS-MCH, Srinagar, India.
2Medical Officer, Department of Health and Medical Education, Srinagar, India.
3Department of Ophthalmology, SKIMS-MCH, Srinagar, India.
4Department of Community Medicine, SKIMS-MCH, Srinagar, India.
Corresponding Author: Hina Kounsar
ABSTRACT
Introduction: Phacoemulsification is considered the gold-standard procedure for cataract. However, MSICS being less expensive can be considered a better procedure for doing mass surgeries. The purpose of this comparative hospital-based study was to assess the visual outcome in the post-operative patients of MSICS and Phacoemulsification.
Method: 160 consecutive patients who completed the post operative follow up of 6 weeks were included in our study with two groups of 80 patients each. One group of patients were operated by MSICS and another by Phacoemulsification. Proper ocular examination including visual acuity (aided and unaided), pupillary reaction, slit lamp examination and fundus was evaluated at week 1 and week 6.
Results: Amongst the 80 cases of phacoemulsification 74 (92.5%) had unaided visual acuity of 6/18 or better at week 1. In case of MSICS unaided visual acuity of 6/18 or better was present in only 62 (77.5%) cases at week 1. The results were statistically significant (P <0.01) in favour of Phacoemulsification. At week 6 Visual Acuity of 6/18 or better was present in 76 (95%) and 67 (83.5%) patients in Phacoemulsification and MSICS methods respectively, though better in phacoemulsification group it was not statistically significant (P>0.01). Similar was case with Best Corrected Visual Acuity at week 6.
Conclusion: Phacoemulsification gives better UCVA at 1st week than MSICS though both are equally safe and efficacious procedures with low complication rates and same visual outcome when compared at 6 weeks. MSICS can thus be an alternative wherever the requisite equipment and expertise for PHACO are not available.
Keywords: Manual Small Incision Cataract Surgery, Phacoemulsification, Visual outcome, surgical induced astigmatism.
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