Title: Retrospective Study to Compare the Usefulness, Efficacy and End result of SICS with Rigid IOL, over Clear Corneal Phacoemulsification with Foldable Lens Implantation
Author: Dr K.M Suresh, MBBS, MS (OPH)
DOI: http://dx.doi.org/10.18535/jmscr/v4i1.27
Aim: of the study is to establish whether the manual SICS (Small Incision Cataract Surgery) with rigid IOL(Intra Ocular Lens) implantation has the same end result compared to Clear Corneal Phacoemulsification with foldable IOL implantation. Materials and Methods: This is a retrospective study with analysis of data of 100 patients operated by Phacoemulsification with foldable lens implantation method, categorized as Group 1. The other 100 Patients who underwent Small Incision Cataract Surgery with rigid IOL were categorized into Group 2. The results were then compared. Results: It is observed that more than 82% in both the groups were having unaided vision better than 6/18. Cases of BCVA of 6/6 were 99 and 97 in Group1 and Group2 respectively. No significant difference was observed in both groups. Conclusion: Hence it can be concluded that the manual SICS with rigid IOL has the same end result as that of Clear Corneal Phacoemulsification with foldable IOL implantation. 1. A Hennig, LR Puri, H Sharma, JR Evans, D Yorston. Foldable vs rigid lenses after phacoemulsification for cataract surgery: a randomised controlled trial. Eye (Lond) 2014;28(5):567–75. [PMC free article] [PubMed] 2. B Reddy, A Raj, VP Singh. Site of Incision and Corneal Astigmatism in Conventional SICS versus Phacoemulsification. Ann Ophthalmol. 2007;39(3):209–16. [PubMed] 3. VK Mallik, S Kumar, R Kamboj, C Jain, K Jain, S Kumar. Comparison of astigmatism following manual small incision cataract surgery: superior versus temporal approach. Nepal J Ophthalmol.2012;4(1):54–58. [PubMed] 4. T Oslen, M Dam- Johanson, T Bek, JO Hjortdal. Corneal versus scleral tunnel incision in cataract surgery: a randomized study. J Cataract Refract Surg. 1997;23:337–41. [PubMed] 5. RF Steinert, SF Brint, SM White, IH Fine. Astigmatism after small incision cataract surgery. A prospective, randomized, multicenter comparison of 4- and 6.5-mm incisions. Ophthalmology. 1991;98(4):417–23. [PubMed] 6. S Archana, AK Khurana, U Chawla. A comparative study of sclero-corneal and clear corneal tunnel incision in manual small-incision cataract surgery. Nepal J Ophthalmol.2011;3(1):19–22. [PubMed] 7. BA Cooper, NM Holekamp, G Bohigian, PA Thompson. Case-control study of endophthalmitis after cataract surgery comparing scleral tunnel and clear corneal wounds. Am J Ophthalmol. 2003;136(2):300–05. [PubMed] 8. Hennig A, Kumar J, Yorston D, Foster A. Sutureless cataract surgery with nucleus extraction – outcome of a prospective study in Nepal. Br J Ophthalmol 2003;87(3):266-270. 9. Singh R, Vasavada AR, Janaswamy G. Phacoemulsification of brunescent and black cataracts. J Cataract Refract Surg 2001;27(11):1762-1769. 10. Gogate PM, Kulkarni SR, Krishnaiah S, Deshpande RD, Joshi SA, Palimkar A. Safety and efficacy of phacoemulsification compared with manual small incision cataract surgery by a randomized controlled clinical trial - six week results. Ophthalmology 2005;112(5):869-874. 11. Ruit SA, Tabin G, Chang D, Bajracharya L, Kline DC, Richheimer W. A prospective randomised clinical trial of phacoemulsification vs manual sutureless small incision extracapsular cataract surgery in Nepal. Am J Ophthalmol 2007;143(1):32-38. 12. Venkatesh R, Tan C, Sengupta S, Ravindran R, Krishnan K, Chang D. Phacoemulsification versus manual small incision cataract surgery for white cataract. J Cataract Refract Surg 2010;36:1849-1854. 13. Devereaux PJ, Bhandari M, Clarke M, et al. Need for expertise based randomised controlled trials. Br Med J 2005;330:88. 14. Bourne R, Minassian D, Dart J, Rosen P, Kaushal S, Wingate N. Effect of cataract surgery on the corneal endothelium - modern phacoemulsification compared with extracapsular cataract surgery. Ophthalmology 2004;111(4):679-685. Accepted 31 January 2012. 15. Jaya Devendra, Smitha Agarwal and Pankaj Kumar Singh A Comparative Study of Clear Corneal Phacoemulsification with Rigid IOL Versus SICS; the Preferred Surgical Technique in Low Socio-economic group Patients of Rural Areas J Clin Diagn Res. 2014 Nov; 8(11): VC01–VC03. 16. RB Khandekar, BK Jain, AK Sudhan, KP Pandey. Visual acuity at 6 weeks after small incision cataract surgery and role of audit in predicting visual acuity. Eur J Ophthalmol. 2010;20(2):345–52. [PubMed] 17. Comparative outcomes of manual small incision cataract surgery and phacoemulsification performed by ophthalmology trainees in a tertiary eye care hospital in India: a retrospective cohort designRohit C Khanna1,Srivalli Kaza1,Ghanshyam Palamaner Subash Shantha2,Virender S Sangwan3BMJ Open 2012;2:e001035 doi:10.1136/bmjopen-2012-001035Abstract
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