Main Article Content

Abstract

BACKGROUND


Small-incision cataract surgery (SICS) is a widely practiced surgery in developing nations. Its cost-effective nature and compatibility with high-volume facilities make it a valuable option, offering favorable visual outcomes for most patients. This study was done to evaluate the visual results of SICS procedures performed at a tertiary care center in Urun, Islampur and investigate the factors contributing to suboptimal visual outcomes.


METHODS


A total of 200 cataract patients were enrolled in this study. The research encompassed a comprehensive analysis of intraoperative and postoperative complications. There was a comparison made between postoperative visual acuity (VA) and preoperative VA, with a dedicated examination of the determinants of diminished visual outcomes. Follow-up evaluations were carried out on days 1, 3, 7, 14, and 30.


RESULTS


The average age of the patient cohort was 63 years, with a slightly higher representation of females (52%) compared to males. The most frequently encountered surgical complication with 5.5% incidence was striate keratopathy, which was then followed by iris damage which had an incidence of 4.5%. The other common complications included posterior capsular rent (PCR) with vitreous loss (3.5%), hypotony (0.10%), intraocular lens decentration (0.50%), surgically induced astigmatism (0.20%) and endophthalmitis (0.50%). Notably, 98% of the patients achieved visual acuity exceeding 6/18. Complications associated with suboptimal visual outcomes (<6/18) were primarily attributed to posterior capsular rent, surgically induced astigmatism, and endophthalmitis.


CONCLUSIONS


While SICS may carry a certain risk of complications, the majority of patients can attain favourable visual outcomes.

Keywords

Manual Sics, Cataract Surgery, Medical College, Comparison, Safety Parameters.

Article Details

How to Cite
Kunal Uday Patil, & Krishna Nalawade. (2023). Study of Surgical and Visual Results and Complications of Manual SICS in a Tertiary Care Medical College in India. Journal of Evolution of Medical and Dental Sciences, 12(12), 363–366. https://doi.org/10.14260/jemds.v12i12.526

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