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Category: Volume 08 Issue 06 June 2020
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Title: Small Incision Cataract Surgery (A Safe, Cheap and Affordable Alternative to Phacoemulsification) (Let’s make it popular)

Authors: Samar H Shoeir, FICO, MRCS Ed, MSc, Sanaa A Mohamed, MD, MSc, Doaa A Hussien FICO, MRCSEd

 DOI: https://dx.doi.org/10.18535/jmscr/v8i6.84

Abstract

Purpose: To study the effectiveness and adverse events associated with the surgical treatment of cataracts; focusing on SICS as treatment option to make recommendations on the most suitable treatment option for cataract in outreach.

Settings:  Senoris general hospital (Al Fayoum city).

Design: This prospective cross-sectional study.

Methods: This study enrolled patients who underwent MSICS between April 2018 to April 14 2019. The primary outcome measure was post-operative, pinhole corrected VA on day 1 and 4 weeks. The secondary outcomes were complications as well as the costs of surgery.

Results: A total number of 120 patients, 45 of them were males (37.5%), mean age of 62.0917± 9.7 years underwent MSICS. On post-operative day one, 70 eyes (58.3%) had good visual acuity (6/6 to 6/18), 50 eyes (41.6 %) borderline (<6/18 to 6/60) and 0 (0 %) had poor outcome less than 6/60.

At 4 weeks postoperatively 120 eyes had good vision.

Among all operated eyes, 32 eyes (26.6%) had intra-operative complications. The most common intra-operative complication was premature entry in 8 eyes (6.7 %). The frequent complication during the immediate postoperative period was corneal edema (34.1%). It was resolved within 2 weeks with good VA.

The total surgical costs per case were estimated at (400 LE) ($25).

Conclusion: Manual SICS is significantly faster and less technology-dependent than phacoemulsification, it may be a more appropriate cataract surgery in outreach.

Keywords:  Cataract, Manual small incision cataract surgery.

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Corresponding Author

Samar H Shoeir, FICO, MRCS Ed, MSc

Cataract and Glaucoma Specialist, Al Fayoum Ophthalmology Hospital