Posters

Minimal duration cataract surgery with oblique limbal stab incision technique in SICS and phaco

Poster Details

First Author: D.Mahajan UK

Co Author(s): R. Lal Sharma   K. Chaudhary                 

Abstract Details

Purpose:

SCIS is mainly as a cost-effective alternative to phacoemulsification cataract surgery and will be the standard procedure where phaco surgery is not possible in developing countriesSmall incision cataract surgery (SICS) and phacoemulsification with oblique limbal stab incision technique were studied and compared in terms of surgical duration, surgeon comfort, patient comfort, complications, astigmatism & visual outcome (B.C.V.A)

Setting:

The study was a prospective randomized study conducted in the Department of Ophthalmology, Indira Gandhi Medical College, Shimla,India for one year.

Methods:

100 patients undergoing SICS (6–7 mm) were compared with another age- and sex-matched 100 patients undergoing phaco (2.8 mm) surgery with oblique limbal stab incision technique. These two groups were further subdivided into two groups of 50 each(temporal/nasal). Patients with traumatic cataract, corneal diseases, and preoperative astigmatism >1.5 D were excluded from the study. Follow-up was done at 1, 2, 4, 6, and 12 weeks.

Results:

Surgically induced astigmatism at 12 weeks was <1 D in both groups (+0.62 D ± 0.34 in Group A and +0.46 D ± 0.39 in Group B) (statistically significant P < 0.0010). Mean surgical duration was 690.09 s in SICS and 792.29 s in phacoemulsification (statistically significant, P < 0.0010). Visual outcome was between 6/6 and 6/9 in 86% of the patients in Group A and 97% of patients in Group B at 12 weeks.

Conclusions:

In the developing countries where the cost is a major issue and number of surgeries performed by a surgeon is large, duration of surgery is not only important for handling more patients but also there is lesser tissue handling, coaxial light exposure, and less disturbances to ocular physiology.SICS and phacoemulsification with this technique yield lesser astigmatism than clear corneal and scleral incisions, with the advantage of extension without suturing in complicated cases of phaco and in patients with rigid intraocular lens phacoemulsification gives better BCVA in a larger proportion of patients at 12 weeks.

Financial Disclosure:

None