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ORIGINAL ARTICLE
Year : 2020  |  Volume : 15  |  Issue : 2  |  Page : 215-222

Comparative study of visual outcome, astigmatism, and complications between conventional extracapsular cataract extraction and manual small incision cataract surgery


Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra, India

Correspondence Address:
Dr. Sumant Shekhar
226, Road No. 4, Ashok Nagar, Ranchi - 834 002, Jharkhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_201_20

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Context: Comparative study of visual outcome, astigmatism, and complications between conventional extracapsular cataract extraction (CECCE) and manual small incision cataract surgery (MSICS). Aims: To study and compare the visual outcome, astigmatism, and complications between CECCE and MSICS. Settings and Design: This is a hospital-based, prospective, case–control observational study of 2 years' duration; 110 eyes of 110 patients with cataract attending the ophthalmology outpatient department/inpatient department at Acharya Vinoba Bhave Rural Hospital were selected for the study after taking the inclusion and exclusion criteria into consideration. Informed consent was obtained from all subjects after approval by the institutional ethical committee of the college. Materials and Methods: After enrollment, the patients were divided into two groups, one which underwent cataract extraction by CECCE and other which underwent cataract extraction by MSICS. All surgeries were done by the same surgeon under same setting, and visual outcome, astigmatism, and complications were studied and compared between the two groups. Statistical Analysis Used: Statistical analysis was carried out using descriptive and inferential statistics using Chi-square test and Student's unpaired t-test and software used in the analysis was SPSS 17.0 version and Graph Pad 6.0 version and P < 0.05 is considered as level of significance. Results: Patients who underwent cataract extraction by MSICS had better and early visual rehabilitation. Surgically induced astigmatism (SIA) in MSICS was comparatively less as compared to CECCE. In terms of complications, not much difference was noted between the two groups. Conclusions: In the present study, we found that MSICS needs to be a better surgical procedure for cataract extraction as compared to CECCE in terms of better and early visual rehabilitation and lesser SIA.


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