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Indian Journal of Clinical and Experimental Ophthalmology


Treatment of advanced white cataracts with manual small incision cataract surgery: a prospective study


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Author Details: Anitha S. Maiya, Akshatha M. Dharmesh

Volume : 2

Issue : 4

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 295

Article End Page : 298


Abstract

Purpose: To assess the complications and visual outcome of manual small incision cataract surgery in the treatment of advanced white cataracts.
Methods: This prospective study included 50 eyes of 50 consecutive patients with advanced white cataracts who underwent manual small incision cataract surgery. Intraoperative complications and postoperative findings with visual outcomes assessed on postoperative days 1, 7, 15, 30 and 45 were used as the main measures to report the safety and efficacy of the surgery in patients with white cataracts.
Results: Of the 50 eyes studied, 27 had mature cataract, 8 had hypermature cataract and 15 had intumescent mature cataract. Intra-operatively, rhexis run off to the periphery was seen in 10 patients (20%) and none of the patients had posterior capsular rupture or zonular dialysis. Postoperatively, corneal edema was seen in 5 eyes (10%), mild postoperative uveitis in 4 eyes (8%), severe postoperative uveitis in 1 patient (2%) and postoperative IOP spike in one patient (2%). At 45 days postoperatively, 48 patients (96%) had a best corrected visual acuity of 6/9 or better and 2 patients had >6/12.
Conclusions: Manual small incision cataract surgery proves to be a safe and effective surgical option for patients with advanced white cataracts due to its low rates of intraoperative and postoperative complications and good postoperative visual outcomes