Visual assessment between phacoemulsification and small incision with 5.2mm non-foldable intraocular lens implant.

Authors

  • Noman Ahmed Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro.
  • Asadullah Jatoi Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro.
  • Mona Liza Mahesar Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro.
  • Ashok Kumar Narsani Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro.

DOI:

https://doi.org/10.29309/TPMJ/2021.28.11.6753

Keywords:

Complications, Intraocular Lens, Phaco-emulsification, Small Incision Cataract Surgery, Visual Acuity

Abstract

Objective: To compare visual assessment between phacoemulsification and small incision with 5.2mm non-foldable intraocular lens implant. Study Design: Experiential Study. Setting: Institute of Ophthalmology, Liaquat University Hospital Jamshoro, Period: September 2019 to August 2020. Material & Methods: We performed cataract surgeries using the non-foldable intraocular lens in 100 patients. Two techniques were performed, dividing patients equally into Phaco (Group-A) and SI (Group-B) cataract surgery. The outcomes of both were analyzed uncorrected visual acuity and complications. Results: Of the total 50 patients who underwent phacoemulsification, 55% were male and 45% females in Group-A while Group B (SI surgery) were 45% were male and 35% were female. The intra-operative success rate was 90% in Phaco group and 74% in SI group. In comparison, small Incision group had 10% of patients had difficulty in capsulorhexis, 8% in posterior capsular rupture, 6% in zonular dialysis, 2% iridodialysis, and 0% showing nucleus drip with all complications being higher than in Phaco Group except for nucleus drip (2% vs. 0%). Although, post-operatively, individually groups have similar complications with no notable difference seen, yet astigmatism was lesser in Group A than in Group B. Conclusion: Both techniques showed similar outcomes in the uncorrected visual acuity; however, astigmatism and complication rates were lesser in the phacoemulsification study group.

Author Biographies

Noman Ahmed, Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro.

MBBS, MCPS, FCPS (Ophthalmology)

Assistant Professor

 

Asadullah Jatoi, Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro.

MBBS, FCPS (Ophthalmology)

Assistant Professor

 

Mona Liza Mahesar, Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro.

MBBS, MS (Ophthalmology)

Senior Registrar 

 

Ashok Kumar Narsani, Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro.

MBBS, FCPS (Ophthalmology)

Professor

 

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Published

2021-10-31