Nagasree D. V. C1, Ramakrishna Rachakonda2
Cataract surgery is done on a large scale in tertiary care centres in India. Because of large pool of patients requiring cataract surgery we require a procedure which is easy, cheap, effective, free from complications and with good outcome. We need to train our surgeons in fulfilling the need of the nation.
MATERIALS AND METHODS
We have selected 1051 patients selected for cataract surgery with MSICS procedure from February 2016 to December 2016. They were investigated thoroughly for comorbidities like Hypertension, diabetes, Asthma or COPD. Smoking history of the patients was recorded. Patients with active Pulmonary TB and Glaucoma were excluded from the study. These patients were followed through surgery for intraoperative and postoperative complications. Acuity of vision was checked on first POD and after 6 weeks of surgery. Astigmatism was assessed at the end of six weeks after surgery.
80% of these patients presented in above 50 years of age group. Nearly 50% of these patients presented with a vision of counting fingers to 6/60. Male: Female ratio among our patients is 1.4:1. The habit of smoking was observed in nearly 50% of our patients. Important comorbidities included Diabetes with or without hypertension, asthma and COPD. Intraoperative complications like difficult cortical aspiration, posterior capsular rent and difficult nuclear prolapse were observed. Postoperative complications like striate keratopathy, postoperative anterior uveitis and hyphaema were observed. Most of these complications are not vision threatening. 80% of the patients had satisfactory vision of > 6/18 at end of six weeks after surgery. Astigmatism was seen in around 20.94% of patients, but a majority of them had an astigmatism of 1 to 2D and was correctible.
Summary- MSICS is a useful technique for Cataract surgery. It is safe and effective. The results are comparable to Phacoemulsification with satisfactory vision restoration.
MSICS is a simple and safe technique for cataract surgery and can be recommended in camp and hospital conditions, especially in resource poor countries.