Refine your search
Collections
Journals
Year
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Chatterjee, Sumit
- A Clinical Study Comparing Different Techniques of Nucleus Delivery in Manual Small Incision Cataract Surgery
Abstract Views :359 |
PDF Views:94
Authors
Source
MVP Journal of Medical Sciences, Vol 2, No 2 (2015), Pagination: 67-75Abstract
Aim: To compare different technique of nucleus delivery in small manual incision cataract surgery,regarding their safety and intra operative complication. Material & Methods: A total of 285 patients with cataract undergoing SICS with posterior chamber IOL implantation were selected. Patients were randomly divided into 7 groups of nucleus delivery. All of the patients were followed up on first postoperative day and discharge. Patients were advised regular follow up at 1st week, 4th week and 6th week. Results: Out of total 285 patients 68 (23.86%) patients had intraoprative complications for all the techniques. There was no intraoperative difficulty to the surgeon for delivery of nucleus by various techniques in 210(73.68%) of cases. Group 1 (wire vectis) had minimum intraoperative complications whereas group 2 had maximum.31 (10.88%)had grade 1 (minimal) difficulty intraoperetively. 25 (8.77%)cases had grade 2 (moderate) difficulty. 19 (6.67) cases had grade 3(abandoned) difficulty. Conclusion: By adjusting parameters like size of cornean incision, hydrodissection or debulking of nucleus before delivery of nucleus in different grades of hardness of cataract, a surgeon may choose any one technique in which he or she is comfortable. Manual small incision Cataract surgery with its low complication rate has now come to be established surgical procedures for cataract surgery.Keywords
Blumenthal, Fish Hook, Irrigating Vectis, Nucleus Delivery, Phacofracture, SICS, Viscoexpression, Wirevectis.Full Text
References
- Foster A, Johnson GJ. Magnitude and causes of blindness in the developing world. IntOphthalmol. 1990; 14:135-40.
- West SK, Quigley HA. Cataract blindness: What to do? ArchOphthalmol. 1991; 109:1665-6.
- Allen D, Vasavada A. Cataract and surgery for Cataract. BMJ. 2006 Jul 2015; 333(7559):128-32.
- Chang DF. Tackling the greatest challenge in cataract surgery. Br J Ophthalmol. 2005 Sep; 89(9):1073-4.
- Thylefors B, NEgrel AD, Pararajasegaram R, Dadzie KY. Global data on blindness. Bull World helth organ. 1995; 73:115-21.
- Finger RP. Cataract in india:current situation, access, and barriers to services over time. OphthalEpidemiol. 2007; 14:122-18.
- World Helth Organisation, International agency fot the prevention of the Blindness. Report on the World vision 2002: Seeing is Beliving, vision 2020. Uxbridge:The Right to Slight;2002.
- Resnicoff S, Pascolini D, Etya’ale D, Kocur I, PararajasegaramR, Pokharel GP, Mariotti SP. Global data on visual impairment in the year 2002. Bill world health organ.2004 Nov; 82(11):844-51.
- Minassian DC, Mehra V. 3.8 million blinded by cataract each year: projections from the epidemiological study of incidence of cataract blindness in india. Br J Ophthalmol. 1990 Jan; 74(6):341-3.
- Shamanna R, kumar P, Sarwanan S. Role n responcibilites in the secondary level eye model. Community Eye Helth J. 2005; 18:118-20.
- Minassian DC, Rosen P, Dart JK, Reidy A, Desai P, Sidhu M, et al. Extracapsular cataract extraction compaired with small incision surgery by Phacoemulsification:arandamised trial. Br J Ophthalmol. 2001 Jul; 85(7):822-9.
- WHO fact sheet no 213. Global initiative for the elimination of avoidable blindness 2000. WHO/PBL/97.61.Rev.1.
- Sihota R, Tandon R. Parson’s Diseases of the eye. 21st ed. India: Elsevier; 2011.
- Gupta SK, Kumar A, Kumar D, Agarwal S. Manual small incision cataract surgery under topical anesthesia with intracameral lignocaine: study on pain evaluation and surgical outcome. Indian J Ophthalmol. 2009 Jan-Feb; 57(1):3-7.
- Venkatesh R, Das M, Prashanth S, Muralikrishnan R. Manual small incision cataract surgery in eyes with white cataract. Indian J Ophthalmol. 2005 Sep; 53(3):173-6.
- Vajpayee RB, Sabarwal S, Sharma N, Angra SK. Phacofracture versus phacoemulsification in eyes with age-related cataract. J Cataract Refract Surg. 1998 Sep; 24(9):1252-5.
- Hepşen IF, Cekiç O, Bayramlar H, Totan Y. Small incision extracapsular cataract surgery with manual phacotrisection. J Cataract Refract Surg. 2000 Jul; 26(7):1048-51.
- Preeti K, Rathore MK, Dwivedi PL, Choudary P, Agarwal S. Tirkey E. Non Phaco SICS. Recuding the incision size using Manual Nucleus divison techniques. AIOS proceedings 2005 cataract session IV; p. 123-5.
- Kothari M, Thomas R, Parikh R, Braganza A, Kuriakose T, Muliyil J. The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. Indian J Ophthalmol. 2003 Mar; 51(1):45-52.
- Sharma T, Dhingra N, Worstmann T. Audit of small-incision cataract surgery using an anterior chamber maintainer. Eye (Lond). 2000 Aug; 14 (Pt 4):646-50.
- Jaffe NS, Jafee MS, Jafee GF. Cataract surgery and its complications. 6th Ed. St. Louis; Mosby: 1997.
- Yorston D, Gichuhi S, Wood M, Foster A. Does prospective monitoring improve cataract surgery outcomes in Africa? Br J Ophthalmol. 2002 May; 86(5):543-7.
- Lumme P, Laatikainen LT. Risk factors for intraoperative and early postoperative complications in extracapsular cataract surgery. Eur J Ophthalmol. 1994 Jul-Sep; 4(3):151-8.
- Chirambo C. Country-wide Monitoring of Cataract Surgical Outcomes. Community Eye Health. 2002; 15(44):58-9.
- Bayramlar H, Hepsen IF, Yilmaz H. Mature cataracts increase risk of capsular complications in manual small-incision cataract surgery of pseudoexfoliative eyes. Can J Ophthalmol. 2007 Feb; 42(1):46-50.
- Sharma T, Dhingra N, Worstmann T. Audit of small-incision cataract surgery using an anterior chamber maintainer. Eye (Lond). 2000 Aug; 14 (Pt 4):646-50.
- Hennig A, Kumar J, Yorston D, Foster A. Sutureless cataract surgery with nucleus extraction: outcome of a prospective study in Nepal. Br J Ophthalmol. 2003 Mar; 87(3):266-70.
- Venkatesh R, Muralikrishnan R, Balent LC, Prakash SK, Prajna NV. Outcomes of high volume cataract surgeries in a developing country. Br J Ophthalmol. 2005 Sep; 89(9):1079-83.
- Haripriya A, Chang DF, Reena M, Shekhar M. Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital. J Cataract Refract Surg. 2012 Aug; 38(8):1360-9.
- Sadiq MN, Pai A, Kurup PM. Cataract surgeries by phaco- sandwich technique through sclerocorneal tunnel, a cohort study in Oman. J Ayub Med Coll Abbottabad. 2006 Oct-Dec; 18(4):53-7.
- Bayramlar H, Cekiç O, Totan Y. Manual tunnel incision extracapsular cataract extraction using the sandwich technique. J Cataract Refract Surg. 1999 Mar; 25(3):312-5.
- Bellucci R, Morselli S, Pucci V, Bonomi L. Nucleus Viscoepression compared with other techniques of nucleus removal in extracapsular cataract extra with capsulorrehxis. Ophthalmic Surg. 1994 Jul; 25(7):432-7.
- Powe NR, Schein OD, Gieser SC, Tielsch JM, Luthra R, Javitt J, Steinberg EP. Synthesis of the literature on visual acuity and complications following cataract extraction with intraocular lens implantation. Cataract Patient Outcome Research Team. Arch Ophthalmol. 1994 Feb; 112(2):239-52.
- Gogate PM, Deshpande M, Wormald RP, Deshpande R, Kulkarni SR. Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial. Br J Ophthalmol. 2003 Jun; 87(6):667-72.