Visual Outcome And Complications of Manual Sutureless Small Incision Cataract Surgery-A Rural Hospital Based Study

TLDR: Manual sutureless small incision cataract surgery (MSICS) is a safe and effective technique for cataracts surgery, especially in developing world, and early rehabilitation of the patients and no suture-related problems are main advantages of this technique.

Abstract: Introduction: According to World Health Organization, an estimated 20 million people are blind from bilateral cataracts and this growing backlog poses one of the greatest public health challenges for 21 st century. Materials And Method: it was a randomized prospective study with a sample size of 200 eyes of 200 patients. It was conducted for 1 year. Patients were explained about the study and those willing to participate in the study were included in the study. After taking the consent of patient all patients were examined. RESULTS-58.5% cases were male and 41.5% were females. Mean age was 66 years. Mean axial length was 22.64 ± 0.86. Post-operative under corrected visual acuity was 6/18 or better in 81% eyes at 1 week and 92.5% eyes at 4 week respectively and 6/12 or better in 68% of eyes at 12 weeks. Post –operative VA with pin hole was 6/12 or better in 87% eyes at 1 week and 191(95.5%) eyes at 4 week and 97% of eyes at 12-weeks respectively. . 92. 46% patients having against the rule astigmatism with mean value of 88.24±7.37. 54% patients achieved BSCVA of 6/6 and 30.5% patients having BSCVA of 6/9. Summary And Conclusion: Cataract is still the leading cause of avoidable blindness in the developing world. Unless cataract surgery rates were increased, the magnitude of cataract blindness will continue to increase. Early rehabilitation of the patients and no suture-related problems are main advantages of this technique. Manual sutureless small incision cataract surgery(MSICS) is a safe and effective technique for cataract surgery, especially in developing world.