Jagadish Prasad Rout1 , Pramod Kumar Sharma2 , Ruturaj Sahoo3 , Kulwant Lakra4 , Ravindra Kumar Chowdhury5
BACKGROUND Manual small incision cataract surgery gives good visual outcome in the management of complicated cataract. We wanted to study the common complications in patients with uveitic cataract who underwent manual small incision cataract surgery (MSICS) and assess the post-operative visual outcome after MSICS in these patients with uveitic cataract. METHODS In this retrospective descriptive study, which was carried out over a period of 1 year from June 2019 to June 2020 and included 45 eyes of 32 patients who underwent MSICS for complicated uveitic cataract. Postoperatively the patients were followed up and the following data were recorded - Best Corrected Visual Acuity (BCVA), intraocular pressure, ciliary congestion, KPs, iris nodules, synechiae, pigment dispersion, secondary glaucoma and macular oedema. Postoperatively, posterior segment was also evaluated with Optical Coherence Tomography (OCT) and ocular ultrasonography (B - scan). All the charts were reviewed by a single observer. RESULTS Among 32 patients, there were 20 males (62.5 %) and 12 females (37.5 %), most of whom were in the age group of 46 - 60 yrs. (37.7 %).The commonest intra - operative complication we encountered was posterior synechiae (51.1 %) and early post - operative complication was AC reaction (35.5 %) and late complication was posterior capsular opacity (33.3 %). The BCVA was within the range of 6 / 60 – 6 / 36 (40 %) during immediate postoperative period and 6 / 6 - 6 / 9 (35.5 %) in late postoperative period. CONCLUSIONS Manual small incision cataract surgery with posterior chamber intraocular lens implantation is an alternative and safe method in the management of complicated uveitic cataract and improves BCVA at 8 weeks. Preoperative inflammation should be controlled for at least 3 months. Persistent inflammation, macular oedema, posterior capsular opacification were the main causes affecting visual outcome, Small incision cataract surgery requires minimal instrumentation and the surgical time is very short and the method is performed in low budget setup where phaco emulsification facility is not available.
