Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract
Purpose. To compare the feasibility of cataract surgery with implantation of endocapsular supporting devices and intraocular lens (IOL) in subluxated cataract in phacoemulsification and manual small incision cataract surgery (MSICS). Design. Prospective randomized intervention case series consisting...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2012/205139 |
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| author | Ruchi Goel Saurabh Kamal Sushil Kumar Jugal Kishore K. P. S. Malik Sonam Angmo Bodh Smriti Bansal Madhu Singh |
| author_facet | Ruchi Goel Saurabh Kamal Sushil Kumar Jugal Kishore K. P. S. Malik Sonam Angmo Bodh Smriti Bansal Madhu Singh |
| author_sort | Ruchi Goel |
| collection | DOAJ |
| description | Purpose. To compare the feasibility of cataract surgery with implantation of endocapsular supporting devices and intraocular lens (IOL) in subluxated cataract in phacoemulsification and manual small incision cataract surgery (MSICS). Design. Prospective randomized intervention case series consisting of 60 eyes with visually significant subluxated cataract. Method. The patients were randomly distributed between the two groups equally. The main outcome measure was implantation of in-the-bag IOL, requirement of additional procedure and complications, if any. Results. Capsular bag retention in subluxated lenses is possible in 90% cases in phacoemulsification versus 76.67% cases in MSICS (𝑃=0.16). Both groups, achieved similar best corrected visual acuity (𝑃=0.73), although additional procedures, intraoperative, and postoperative complications were more common in MSICS. Conclusions. Achieving intact capsulorhexis and nuclear rotation in MSICS may be difficult in cases with large nucleus size and severe subluxation, but subluxated cataracts can be effectively managed by both phacoemuslification and MSICS. |
| format | Article |
| id | doaj-art-a4a135322176401bb169280f2ebd95ae |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-a4a135322176401bb169280f2ebd95ae2025-08-20T02:23:05ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/205139205139Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated CataractRuchi Goel0Saurabh Kamal1Sushil Kumar2Jugal Kishore3K. P. S. Malik4Sonam Angmo Bodh5Smriti Bansal6Madhu Singh7Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, IndiaGuru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, IndiaGuru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, IndiaDepartment of Community Medicine, Maulana Azad Medical College, New Delhi 110002, IndiaDepartment of Ophthalmology, Subharti Medical College, Meerut 250002, IndiaGuru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, IndiaGuru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, IndiaGuru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, IndiaPurpose. To compare the feasibility of cataract surgery with implantation of endocapsular supporting devices and intraocular lens (IOL) in subluxated cataract in phacoemulsification and manual small incision cataract surgery (MSICS). Design. Prospective randomized intervention case series consisting of 60 eyes with visually significant subluxated cataract. Method. The patients were randomly distributed between the two groups equally. The main outcome measure was implantation of in-the-bag IOL, requirement of additional procedure and complications, if any. Results. Capsular bag retention in subluxated lenses is possible in 90% cases in phacoemulsification versus 76.67% cases in MSICS (𝑃=0.16). Both groups, achieved similar best corrected visual acuity (𝑃=0.73), although additional procedures, intraoperative, and postoperative complications were more common in MSICS. Conclusions. Achieving intact capsulorhexis and nuclear rotation in MSICS may be difficult in cases with large nucleus size and severe subluxation, but subluxated cataracts can be effectively managed by both phacoemuslification and MSICS.http://dx.doi.org/10.1155/2012/205139 |
| spellingShingle | Ruchi Goel Saurabh Kamal Sushil Kumar Jugal Kishore K. P. S. Malik Sonam Angmo Bodh Smriti Bansal Madhu Singh Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract Journal of Ophthalmology |
| title | Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract |
| title_full | Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract |
| title_fullStr | Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract |
| title_full_unstemmed | Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract |
| title_short | Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract |
| title_sort | feasibility and complications between phacoemulsification and manual small incision surgery in subluxated cataract |
| url | http://dx.doi.org/10.1155/2012/205139 |
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