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Cataract surgery, their postoperative analysis, and a comparison of phacoemulsification and manual small-incision cataract surgery at a tertiary care hospital: A retrospective study
Sujit Das, Sukhdayal Singh Shergill
Department of Ophthalmology, Adesh Medical College and Hospital, Shahbad, Haryana, India
Correspondence Address:
Sujit Das,
Department of Ophthalmology, Adesh Medical College and Hospital, Near Ambala Cantt, Vill-Mohri, Shahbad - 136 134, Haryana
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/mjdrdypu.mjdrdypu_54_21
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In this modern era, though some of us start our surgical career with phacoemulsification (PHACO), still today, some scholars believe that manual small-incision cataract surgery (MSICS) has the similar efficacy with PHACO. Objectives: The study objective was to analyze cataract surgery outcomes in terms of vision, complications, and postoperative quality of life. Study Design: This is a retrospective study. Materials and Methods: All surgeries were performed under peribulbar block. Lens power calculation was done by A-scan. Glaucoma, corneal pathology, pterygium, uveitis, and all the posterior-segment pathology cases were excluded from the study. The total follow-up duration was 6 weeks. MSICS was strictly performed for mature cases. Results: Out of 336 cases, MSICS was performed in 151 cases, whereas PHACO was performed in 185 cases. The majority of cases was between 61 and 70 years of age. After 6 weeks, the minimum cylindrical number was encountered as − 0.75 D in small-incision cataract surgery (SICS) and − 0.5 D in PHACO. Visual acuity of 6/6 was found in 6.6% (n = 10) cases of SICS and 15.6% (n = 29) cases of PHACO. The levels of visual acuity after cataract surgery were categorized using the World Health Organization (WHO) guidelines with good outcome being 6/6–6/24, borderline outcome being 6/24–6/60, and poor outcome being < 6/60. According to the WHO guideline, good vision was present in 84.10% (n = 127) and 97.83% of cases of SICS and PHACO, respectively. Postoperative day 1 cornea was found absolutely clear in 91.97% (n = 336) of cases (P < 0.001). There was not a single case of endophthalmitis. Nucleus drop was seen in one case of PHACO. Conclusions: Visual acuity of 6/6 can be provided to SICS patients, and there is no need to try PHACO especially in intumescent white, black, and brown cataract cases.
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