Cataract Surgery, Their Postoperative Analysis, and a Comparison of Phacoemulsification and Manual Small-Incision Cataract Surgery at a Tertiary Care Hospital: A Retrospective Study

Medical Journal of Dr. D.Y. Patil Vidyapeeth

article

Das, Sujit¹  Shergill, Sukhdayal Singh¹ 

[1] Department of Ophthalmology, Adesh Medical College and Hospital

关键词: Cataract surgery;    ocular blindness;    phacoemulsification;    small-incision cataract surgery;   

DOI  :  10.4103/mjdrdypu.mjdrdypu_54_21

学科分类：社会科学、人文和艺术（综合）

来源: Wolters Kluwer Medknow Publications

【 摘 要 】

Introduction:  In this modern era, though some of us start our surgical career with phacoemulsification (PHACO), still today, some scholars believe that manual small.incision cataract surgery (MSICS) has the similar efficacy with PHACO. Objectives:  The study objective was to analyze cataract surgery outcomes in terms of vision, complications, and postoperative quality of life. Study Design:  This is a retrospective study. Materials and Methods:  All surgeries were performed under peribulbar block. Lens power calculation was done by A-scan. Glaucoma, corneal pathology, pterygium, uveitis, and all the posterior-segment pathology cases were excluded from the study. The total follow-up duration was 6 weeks. MSICS was strictly performed for mature cases. Results:  Out of 336 cases, MSICS was performed in 151 cases, whereas PHACO was performed in 185 cases. The majority of cases was between 61 and 70 years of age. After 6 weeks, the minimum cylindrical number was encountered as − 0.75 D in small-incision cataract surgery (SICS) and − 0.5 D in PHACO. Visual acuity of 6/6 was found in 6.6% (n = 10) cases of SICS and 15.6% (n = 29) cases of PHACO. The levels of visual acuity after cataract surgery were categorized using the World Health Organization (WHO) guidelines with good outcome being 6/6–6/24, borderline outcome being 6/24–6/60, and poor outcome being < 6/60. According to the WHO guideline, good vision was present in 84.10% (n = 127) and 97.83% of cases of SICS and PHACO, respectively. Postoperative day 1 cornea was found absolutely clear in 91.97% (n = 336) of cases (P < 0.001). There was not a single case of endophthalmitis. Nucleus drop was seen in one case of PHACO. Conclusions:  Visual acuity of 6/6 can be provided to SICS patients, and there is no need to try PHACO especially in intumescent white, black, and brown cataract cases.

【 授权许可】

CC BY-NC-SA