Posters
Manual sutureless small-incision extracapsular cataract surgery in Tunisia: a prospective study
Poster Details
First Author: W. Zbiba TUNISIA
Co Author(s): E. Bouayed A. Baba N. Ben Abdessalem I. Elleuch
Abstract Details
Purpose:
demonstrate the benefice of samll-incision extra capsular cataract surgery in hard cataracts
Setting:
If phacoemulsification is the accepted standard for cataract surgery in the developed world, alternative cataract surgical techniques such as sutureless manual small incision cataract surgery(MSICS) are gaining popularity in the developing world
Methods:
One Handred forty eyes with dense mature cataracts underwent a planned manual small incisionextracapsular cataract extraction at the department of ophtalmology in the university hospital of Nabeul in Tunisia, between January 2013 ans December 2015. Postoperative visual aquity, surgically induced astigmatism,endothelium cell specular microscopy and complications were noted. The mean follow-up was 12 months (6 to 24 months)
Results:
The préoperative visual acuity was less than 1/10 in 110 cases (78.5% of patients). Fifty per cent (70 cases) of patients had an uncorrected visual acuity of 4/10 or better on the first postoperativeday. Ninty-five per cent of patients (133 cases) had a distance corrected visual acuity of 5/10 or better 3 months postoperatively. Nine cases (6.42%) were complicated by a posterior capsule rupture. No cases of endophthalmitis were reported. Mean post operative astigmatism was 1,45 ± 1,22. The summated vector mean of the surgically induced astigmatism was 0.091D at 83°.The endothelial cell loss at the sixth month was 15,2%,
Conclusions:
Manual small incision cataract surgery is s a safe and effective technique for cataract surgery, especially in the developing world. It is able to achieve excellent outcomes. Manual small incision cataract surgery retains most of the advantages offered by phaco at a miniscule of the cost and hence lends itself to high-volume cataract surgery
Financial Disclosure:
NONE
