Study of Intraoperative Complications in Small Incision Cataract Surgery, its Management and Visual Outcome

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Authors

  • Mrunal Suresh Patil
     Dean & Professor, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra ,IN
  • Dhiraj Namdeo Balwir
     Associate Professor, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra ,IN
  • Sonal Dua
     Postgraduate resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra ,IN

Keywords:

Small Incision Cataract Surgery, Visual Outcome
Surgery

Abstract

Aims: To study the intraoperative complications in small incision cataract surgery and its management and to study the visual outcome following the management of intraoperative complications. Material and Methods: A total of 250 cases studied from who underwent SICS. Intraoperative complications were studied and managed. Visual outcome following these complications were studied by noting the best corrected visual acuity after day 1, 1st week, 3rd week, 6th week following surgery. Results: The total intraoperative complications were seen in 22 (8.8%) patients. Posterior capsule rent was seen in 6 eyes (2.4%). Iris prolapse in 5 eyes (2%). Descemet detachment was seen in 3 eyes (1.2%). Premature entry was seen in 3 eyes (1.2%). Capsulorrhexis extension was seen in 2 eyes (0.8%). Zonular dialysis was seen in 2 eyes (0.8%). Superior iridodialysis was seen in only one eye (0.4%). Out of 250 cases, 246 came for follow up till 6th week. 214 (85.6%) patients had post operative BCVA 6/6 at the end of 6th week, 25(10%) patients had 6/9, 5 patients (2%) had 6/12-6/18 and remaining 2 patients (0.8%) had 6/24-6/36 BCVA. Conclusion: The study results shows that in high quality cataract surgery (91.2% without intraoperative complications) 99% BCVA 6/18 or better can be attained. In our study incidence of intraoperative complications was 8.8% in which posterior capsular rent and iris prolapse were the common intraoperative complications.

Author Biographies

Mrunal Suresh Patil, Dean & Professor, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra

Professor & Dean, MVPS Dr. Vasantrao Pawar Medical College, Adgaon, Nashik

Dhiraj Namdeo Balwir, Associate Professor, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College Hospital & RC, Adgaon, Nashik - 422003, Maharashtra

Associate Professor, Department of Ophthalmology, MVPS Dr. Vasantrao Pawar Medical College, Nashik

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Published

2016-02-29

Issue

Volume 3, Issue 1, January-June 2016

Section

Original Research Article

 

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