Resident-performed sutureless manual small incision cataract surgery (MSICS): outcomes and pertinence in the developing world

Session Details

Session Title: Orbis Treatment and Prevention of Blindness in the Developing World

Session Date/Time: Monday 16/09/2019 | 12:15-12:51

Paper Time: 12:39

Venue: West 7

First Author: : P.Subudhi INDIA

Co Author(s): :    S. Patro   B. Subudhi                          

Abstract Details

Purpose:

Hospital based retrospective study to document average best corrected visual acuity(BCVA),uncorrected visual acuity(UCVA) and complication rate of MSICS performed by resident and its implication in treating cataract related blindness in developing countries like India

Setting:

Ruby Eye Hospital, Berhampur, Odisha, India

Methods:

A total of 339 cataract cases underwent MSICS with posterior chamber intaraocular lens implantation performed by resident physician between January 2018-january 2019.The main outcomes measured were post operative visual acuity,intra operative and early post operative complications

Results:

The mean pre-operative visual acuity was 1.3 logarithm of the minimum angle of resolution (logMAR) +/- 0.4 SD (95% confidence interval) or 20/400 Snellen equivalent (SE). Postoperatively improved to UCVA 0.4 logMAR +/-0.3SD or 20/50 SE and BCVA 0.2+/- 0.1 logmar /20/32 SE. The most frequent intraoperative complications were iris prolapse((10.6%),wound leak(5.01%),posterior capsular rent(2.65%),and capsulorrhexis radialization (2.35%).The most common post-operative complication was transient corneal edema(5.6%

Conclusions:

Proper wound construction in MSICS has a learning curve and maximum complications occurred in early part of training.MSICS is a safe and efficacious alternative to phacoemulsification providing excellent results maintaining the cost-quality balance.Hence,MSICS can be performed widely in developing countries to combat the burden of cataract related blindness.

Financial Disclosure:

None