Posters

Comparison of visual outcomes of manual small incision cataract surgery and phacoemulsification performed by an ophthalmology trainee in a tertiary eye care hospital in rural Eastern India

Poster Details

First Author: N. Chandak INDIA

Co Author(s):    P. Biswas                    

Abstract Details

Purpose:

To compare visual outcome of manual small incision cataract surgery and phacoemulsification in immature cataracts by a trainee surgeon at tertiary eye care centre over one quarter.

Setting:

Purnima Nethralay, Tamolia, Jamshedpur, India

Methods:

A Prospective study was conducted with 75 eyes each for small incision cataract surgery and phacoemulsification from January to April 2015. The postoperative best corrected visual acuity (BCVA) along with the rates and types of complications were compared between both the groups.

Results:

Patients in the MSICS group were significantly older (age >65 years; 4.9% vs 2.8%; p<0.001) and had worse preoperative visual acuity (visual acuity <6/60; 66.3% vs 34.4%; p<0.001). Postoperatively, the number of patients having BCVA≥6/12 was similar in both the groups (86.3% vs 89%; p=0.09). The complication rates were higher in MSICS group (14.1% vs 7.1%, p<0.001). Most common risk factor for poor outcome (postoperative BCVA<6/60) in both the groups was presence of associated ocular pathologies.

Conclusions:

Although the complication rate was higher in the MSICS group, there was no difference in BCVA in both the groups. Hence, SICS with rigid PMMA IOL implantation being a cheaper, faster and easier technique, may be recommended for immature cataract surgery in the developing countries.

Financial Disclosure:

NONE