Clinical & experimental ophthalmology · 2014
Manual small incision extracapsular cataract surgery in Australia.
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van Zyl Lourens, Kahawita Shyalle, Goggin Michael
Аннотация
BACKGROUND: Examination of the results and describing the technique of manual small incision extracapsular cataract extraction on patients with advanced cataracts in urban Australia.
DESIGN: A descriptive case series.
PARTICIPANTS: Thirty-eight patients at three public hospitals, one tertiary and two secondary ophthalmic units in urban Australia.
METHODS: Forty eyes with dense mature cataracts with hand movement vision or worse underwent a planned manual small incision extracapsular cataract extraction instead of traditional phaco-emulsification.
MAIN OUTCOME MEASURES: Postoperative visual aquity, surgically induced astigmatism and complications.
RESULTS: Seventy-eight per cent of patients had an uncorrected visual acuity of 6/12 or better on the first postoperative day. Eighty-three per cent of patients had a distance corrected visual acuity of 6/9 or better 3 months postoperatively. One case was complicated by a posterior capsule rupture. No cases of endophthalmitis were reported. The summated vector mean of the surgically induced astigmatism was 0.089D at 93°.
CONCLUSION: Manual small incision extracapsular cataract extraction is an efficacious cataract surgery technique with good visual outcome and is a safe alternative to phaco-emulsification in suitable cases in a first-world setting.
DESIGN: A descriptive case series.
PARTICIPANTS: Thirty-eight patients at three public hospitals, one tertiary and two secondary ophthalmic units in urban Australia.
METHODS: Forty eyes with dense mature cataracts with hand movement vision or worse underwent a planned manual small incision extracapsular cataract extraction instead of traditional phaco-emulsification.
MAIN OUTCOME MEASURES: Postoperative visual aquity, surgically induced astigmatism and complications.
RESULTS: Seventy-eight per cent of patients had an uncorrected visual acuity of 6/12 or better on the first postoperative day. Eighty-three per cent of patients had a distance corrected visual acuity of 6/9 or better 3 months postoperatively. One case was complicated by a posterior capsule rupture. No cases of endophthalmitis were reported. The summated vector mean of the surgically induced astigmatism was 0.089D at 93°.
CONCLUSION: Manual small incision extracapsular cataract extraction is an efficacious cataract surgery technique with good visual outcome and is a safe alternative to phaco-emulsification in suitable cases in a first-world setting.