Original Research Article
Year: 2020 | Month: January-March | Volume: 5 | Issue: 1 | Pages: 120-127
Comparison of Intraoperative and Postoperative Complications of Phacoemulsification and Small Incision Cataract Surgery in Central India
Nikhilesh Wairagade1, Mona Deshmukh2, Chitra Pande3, Chetan Patil2
1Medical Superintendent, Sr. Cornea specialist, 2DNB, 3Sr. Oculoplasty Consultant,
Mahatme Eye Bank Eye Hospital, run by SMM eye Welfare Charitable Trust, Nagpur.
Corresponding Author: Nikhilesh Wairagade
ABSTRACT
Purpose: To compare the incidence of intraoperative and early postoperative complications, and visual outcomes of small incision cataract surgery (SICS) and phacoemulsification in immature cataracts at a secondary eye care hospital.
Methods: A hospital-based prospective study from January 2016 till October 2016 in 500 patients undergoing SICS and phacoemulsification groups (250 patients each). Intraoperative and early postoperative complications were noted and best corrected visual acuity was assessed at regular intervals postoperatively. Statistical analysis was performed using JMP Pro version 12.0.1, © SAS Institute Inc and Microsoft Excel 2013.
Results: The incidence of iris prolapse was found to be higher in the SICS group (0.8%) than the phaco group (3.6%) (P=0.03). There was no significant difference in the occurrence of PCR with vitreous loss (P=0.67) and PCR without vitreous loss (P=0.99) between the two groups. In early postoperative period corneal edema was found in 18 patients of phaco group and 7 patients of SICS (P=0.04) which cleared off later.
Conclusion: Phacoemulsification and SICS are safe and equally efficacious procedures with low complication rates and excellent visual outcomes.
Keywords: Cataract, Phacoemulsification, visual acuity, SICS, aphakia