Manual suture less small incision cataract surgery in patients with uveitic cataract. 2014

Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
Department of Ophthalmology, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.

OBJECTIVE The purpose of this study is to evaluate the outcome of manual small incision cataract surgery (SICS) in eyes with uveitic cataract. METHODS Medical college hospital of the subcontinent. METHODS Retrospective case series. METHODS In this retrospective study, patients who underwent SICS with posterior chamber intraocular lens implantation for uveitic cataract from 2006 to 2009 were evaluated. Patients with less than 3 months follow-up were excluded. Post-operative vision and complications were analyzed. RESULTS A total of 54 patients completed the study. The mean age was 52.3 ± 9.3 years. The mean follow-up was 11.53 ± 5.05 months. The mean surgical time was (10.2 ± 3.8 min). Etiological diagnosis was possible in 31.41% (17/54) of patients. There was a statistically significant improvement in vision after surgery (P < 0.001). When uveitis was well-controlled, pre-operative corticosteroids did not change post-operative inflammation (P = 0.796). However, pre-operative corticosteroids were statistically significantly associated to final best corrected visual acuity (BCVA) (P = 0.010). CONCLUSIONS SICS with posterior chamber intraocular lens implantation is safe in most cataracts due to uveitis and improves BCVA at 6 months. Inflammation should be well-controlled pre-operatively for at least 3 months. Posterior capsule opacification, macular edema and persistent uveitis were the main factors affecting visual outcome. SICS requires minimal instrumentation, surgical time is short and can also be performed in rural clinics and eye-camps, where phacoemulsification machines are unavailable. SICS may be a more practical and cost-effective technique for uveitic cataract, in such circumstances.

UI MeSH Term Description Entries
D008297 Male Males
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002386 Cataract Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed) Cataract, Membranous,Lens Opacities,Pseudoaphakia,Cataracts,Cataracts, Membranous,Lens Opacity,Membranous Cataract,Membranous Cataracts,Opacities, Lens,Opacity, Lens,Pseudoaphakias
D002387 Cataract Extraction The removal of a cataractous CRYSTALLINE LENS from the eye. Enzymatic Zonulolysis,Phakectomy,Cataract Extractions,Enzymatic Zonulolyses,Extraction, Cataract,Extractions, Cataract,Phakectomies,Zonulolyses, Enzymatic,Zonulolysis, Enzymatic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D013536 Suture Techniques Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES). Suture Technics,Suture Technic,Suture Technique,Technic, Suture,Technics, Suture,Technique, Suture,Techniques, Suture
D014605 Uveitis Inflammation of part or all of the uvea, the middle (vascular) tunic of the eye, and commonly involving the other tunics (sclera and cornea, and the retina). (Dorland, 27th ed) Uveitides

Related Publications

Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
January 2020, Current opinion in ophthalmology,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
March 2015, Indian journal of ophthalmology,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
July 2000, Journal of cataract and refractive surgery,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
January 2018, Seminars in ophthalmology,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
November 2022, Indian journal of ophthalmology,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
January 2018, Current opinion in ophthalmology,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
November 2022, Indian journal of ophthalmology,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
October 2006, Ophthalmology,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
December 2017, Indian journal of ophthalmology,
Rahul Bhargava, and Prachi Kumar, and Hafsa Bashir, and Shiv Kumar Sharma, and Anurag Mishra
November 2022, Indian journal of ophthalmology,
Copied contents to your clipboard!