Modification of technique for performing manual small incision cataract surgery by left-handed surgeons: it is different

Session Details

Session Title: Paediatric Cataract Surgery

Session Date/Time: Sunday 15/09/2019 | 16:30-18:00

Paper Time: 17:48

Venue: Free Paper Forum: Podium 2

First Author: : A.Mukherjee INDIA

Co Author(s): :    S. Rao   B. Patel                          

Abstract Details

Purpose:

To present modifications in manual small incision cataract surgery (MSICS) technique by left handed surgeons(LHS) and highlight differences from standard procedure performed by right handed surgeons(RHS)

Setting:

Tertiary Eye Care Center, Central India

Methods:

215 adult eyes underwent MSICS by LHS.Instead of copying steps as done by RHS customization of each step was done to suit dominant left hand.Major modifications:scleral tunnel (starting left and extend to right),capsulorhexis(initial nick:opposite direction,flap rotation:clockwise rather than traditional anti-clockwise),irrigation-aspiration, IOL holding and dialing(instead of starting from 12`o clock, bring trailing haptic to 6`o clock and dialing into bag)

Results:

There were no major intraoperative complications. All 215 eyes gained BCVA of 20/40 or more.Limitation:increased difficulty in performing tunnel in right eyes.Increased the ease of doing surgery and reduced surgical time

Conclusions:

Use of modified technique by LHS would improve ease of doing surgeries and post-operative outcomes.Performing MSICS by LHS using modification of the current technique will lead to shorter surgical learning curve, simplify surgical steps and eventually give better post-operative results.

Financial Disclosure:

None