STUDY OF INTRAOPERATIVE COMPLICATIONS OF SMALL INCISION CATARACT SURGERY
Main Article Content
Keywords
Small incision cataract surgery, Intraoperative complications
Abstract
Background
Small incision cataract surgery is the most commonly performed surgery for Cataract in developing countries. This procedure is safe and effective to increase the output of cataract surgical services, at the same time affordable. The present study is undertaken to know the incidence of intraoperative complications and how best the complications can be minimized and treated.
Methods
A total of 125 cases studied from August 2022 to January 2023. Intraoperative complications were studied and managed. Visual outcome following these
Complications were studied by noting the best corrected visual acuity after postoperative 1st Day, 3rd Day, 7th Day, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks following surgery.
Results
Intraoperative complications were Posterior capsule rent in 27 (21.6%), Iris Prolapse/dialysis 27(21.6%), Zonular dialysis 16(12.8%), Incision and tunnel related complications 8(10%), Descemet’s detachment 10(8%), Capsule related complications 22(17.6%), Chemosis during peribulbar block 6 (4.8%), small pupil 5(4%), others like nucleus drop 2 (1.6%) of cases.
Following early detection and management of these complications the visual outcome was satisfactory after 6 weeks postoperatively. Best corrected visual acuity of 6/6- 6/18 was achieved in 98.4% of cases
Conclusions
Small incision cataract surgery is good technique which provides early and good visual outcome. Overall the complications of small incision cataract surgery are less and the procedure is well suited in our country, where there is large number of backlog of cataract cases.
References
[2] Brian G, Taylor H. Cataract blindness: challenges for the 21st century. Bulletin of the World Health Organization 2001;79:249-56.
[3] Avachat SS, Phalke V, Kambale S. Epidemiological correlates of cataract cases in tertiary health care center in rural area of Maharashtra. Journal of Family Medicine and Primary Care 2014;3(1):45.
[4] Khurana AK. Comprehensive ophthalmology. Jaypee Brothers Medical Publishers 2019.
[5] Allen D, Vasavada A. Cataract and surgery for cataract. BMJ 2006;333(7559):128-32.
[6] Ruit S, Tabin G, Chang D, Bajracharya L, Kline DC, Richheimer W, et al. A prospective randomized clinical trial of phacoemulsification vs manual sutureless small-incision extracapsular cataract surgery in Nepal. American journal of Ophthalmology 2007;143(1):32-8.
[7] Khanna RC, Kaza S, Shantha GP, Sangwan VS. Comparative outcomes of manual small incision cataract surgery and phacoemulsification performed by ophthalmology trainees in a tertiary eye care hospital in India: a retrospective cohort design. BMJ Open 2012;2(5):e001035.
[8] Venkatesh R, Muralikrishnan R, Balent LC, Prakash SK, Prajna NV. Outcomes of high volume cataract surgeries in a developing country. British Journal of Ophthalmology 2005;89(9):1079-83.
[9] Yorston D, Gichuhi S, Wood M, Foster A. Does prospective monitoring improve cataract surgery outcomes in Africa? British Journal of Ophthalmology 2002;86(5):543-7.
[10] Balmer A, Andenmatten R, Hiroz CA. Complications of cataract surgery. Retrospective study of 1,304 cases. Klinische Monatsblatter fur Augenheilkunde 1991;198(5):344-6.
[11] Jaffe NS, Jaffe MS, Jaffe GF. Cataract surgery and its complications. St.Louis: Mosby 1997.
[12] Lin HL, Tseng GL. A spontaneous protruded angle-supported anterior chamber intraocular lens: A case report. Medicine 2019;98(22).
[13] Ramya M, Ramani S. “To determine the occurrence of Various Intraoperative Complications of Manual Small Incision Cataract Surgery Acta Scientific Ophthalmology 2021;4(4):187-90.
[14] 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;87(6):667-72.
[15] Schroeder B. Sutureless cataract extraction: Complications, management and learning curves. Community Eye Health 2003;16(48):58-60.
[16] Kongsap P. Manual sutureless cataract surgery with foldable intraocular lens using the Kongsap technique: the results of 95 cases. Journal-Medical Association of Thailand 2007;90(8):1627.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Shubhangi Garthe
Resident, Department of Ophthalmology, Lokmanya Tilak Municipal Medical College, Sion, Mumbai, Maharashtra, India.
Dr. Chhaya Shinde
Professor and HOD, Department of Ophthalmology, Lokmanya Tilak Municipal Medical College, Sion, Mumbai, Maharashtra, India.
Dr Aryamol V.S.
Resident, Department of Ophthalmology, Lokmanya Tilak Minicipal Medical College, Sion, Mumbai, Maharashtra, India.
Dr. Shruti Shirwadkar
Associate Professor, Department of Ophthalmology, Lokmanya Tilak Minicipal Medical College, Sion, Mumbai, Maharashtra, India.