Visual outcome and postoperative complications after manual small incision cataract surgery versus phacoemulsification
Elshaar, M., Elsayed, M., Aldghaimy, A., Elshazly, W. (2022). Visual outcome and postoperative complications after manual small incision cataract surgery versus phacoemulsification. EKB Journal Management System, 5(2), 1-9. doi: 10.21608/svuijm.2022.95108.1217
Mohammed Jalal EL Din Hanafy Elshaar; Mohammed Mahmoud Elsayed; Ahmed Hassan Aldghaimy; Wael Elshazly. "Visual outcome and postoperative complications after manual small incision cataract surgery versus phacoemulsification". EKB Journal Management System, 5, 2, 2022, 1-9. doi: 10.21608/svuijm.2022.95108.1217
Elshaar, M., Elsayed, M., Aldghaimy, A., Elshazly, W. (2022). 'Visual outcome and postoperative complications after manual small incision cataract surgery versus phacoemulsification', EKB Journal Management System, 5(2), pp. 1-9. doi: 10.21608/svuijm.2022.95108.1217
Elshaar, M., Elsayed, M., Aldghaimy, A., Elshazly, W. Visual outcome and postoperative complications after manual small incision cataract surgery versus phacoemulsification. EKB Journal Management System, 2022; 5(2): 1-9. doi: 10.21608/svuijm.2022.95108.1217

Visual outcome and postoperative complications after manual small incision cataract surgery versus phacoemulsification

SVU-International Journal of Medical Sciences
Article 2, Volume 5, Issue 2, July 2022, Page 1-9  XML PDF (178.09 K)
Document Type: Original research articles
DOI: 10.21608/svuijm.2022.95108.1217
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Authors
Mohammed Jalal EL Din Hanafy Elshaar email 1; Mohammed Mahmoud Elsayed2; Ahmed Hassan Aldghaimy1; Wael Elshazly1
1Department of Opthalmology, Faculty of Medicine, South Valley University, Qena, Egypt
2Department of Opthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt
Abstract
Background: Age-related cataract is the leading cause of blindness in the globe, accounting for 51% of all blindness. Most cataract cases occur in underdeveloped countries. MSICS (manual small incision cataract surgery) is a new procedure. As a common approach that combines all the benefits of phacoemulsification with the extra benefit of greater application,
Objectives: To compare visual outcome and postoperative complications after MSICS and Phacoemulsification.
Patients and methods: 100 eyes of 100 patients with senile cataract divided randomly into two groups. Group A 50 eyes underwent phacoemulsification, Group B: 50 eyes underwent Manual small incision cataract surgery (MSICS).
Results: Regarding to visual outcome, at 3 months, 44 patients88% of phacoemulsification group had a best corrected distant visual acuity (BCDVA) of 6/12 or better as compared to 38 patients 78% in MSICS.In day one postoperative 96% of phacoemulsification group eyes exhibited moderate to severe corneal edema while only 14% of MSICS group exhibited moderate corneal edema, 2% sever edema the difference was statistically significant (p < 0.001). Best corrected visual acuity after 3 months post operative was comparable between two groups however surgically induced astigmatism (SIA) after three months was statistically significant (p < 0.001) with less SIA in phacoemulsification group compared to MSICS group with SIA. The incidence of Descemet’s membrane detachment was also studied with no statistical significance between two groups with slightly higher rates in phacoemulsification group confined to incision site.
Conclusion: Both phacoemulsification and MSICS are effective techniques in treating senile cataracts with satisfactory visual outcome. While MSICS have slight edge in terms of cost and fewer complications rate, uneventful phacoemulsification yields faster visual rehabilitation with better refractive outcomes which is more convenient in nowadays patients.
Keywords
Cataract; Manual small incision; Cataract surgery; phacoemulsification
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