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Manual small incision cataract surgery in a United Kingdom university teaching hospital setting

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Abstract

Purpose To assess the complication rates and visual outcomes of manual small incision cataract surgery (MSICS) in a university teaching hospital setting. Method Retrospective audit encompassing a 3-year period looking at the visual outcomes, and intraoperative and postoperative complications of planned MSICS performed on brunescent cataracts. Results MSICS was performed in 55 eyes of 49 patients. Intraoperatively, zonular dehiscence without vitreous loss occurred in one eye (1.8%), and vitreous loss occurred in one eye (1.8%). Postoperative complications occurred in seven eyes (12.7%). The most common complication was raised intraocular pressure (three eyes, 5.5%). None developed endophthalmitis or dropped nucleus. Mean follow-up duration was 10.0 weeks. In 49 eyes (89.1%), vision improved postoperatively. Sixty five percent achieved a best-corrected vision of 6/12 or better. The mean postoperative astigmatism was significantly higher than preoperatively (1.40D vs. 0.99D, p = 0.02). Conclusion MSICS is safe and effective for dense and brunescent cataracts in a UK university hospital setting. However, it was associated with a statistically significant increase in astigmatism postoperatively.

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References

  1. Desai P, Minassian DC, Reidy A (1999) National cataract surgery survey 1997–8: a report of the results of the clinical outcomes. Br J Ophthalmol 83:1336–1340

    Article  CAS  PubMed  Google Scholar 

  2. Lundstrom M, Barry P, Leite E, Seward H, Stenevi U (2001) 1998 European Cataract Outcome Study: report from the European Cataract Outcome Study Group. J Cataract Refract Surg 27:1176–1184. doi:10.1016/S0886-3350(01)00772-6

    Article  CAS  PubMed  Google Scholar 

  3. Leaming DV (2004) Practice styles and preferences of ASCRS members-2003 survey. J Cataract Refract Surg 30:892–900. doi:10.1016/j.jcrs.2004.02.064

    Article  PubMed  Google Scholar 

  4. Jaycock P, Johnston RL, Taylor H, Adams M, Tole DM, Galloway P, Canning C, Sparrow JM (2007) The Cataract National Dataset electronic multi-centre audit of 55 567 operations: updating benchmark standards of care in the United Kingdom and internationally. Eye. doi:10.1038/sj.eye.6703049

    PubMed  Google Scholar 

  5. Ruit S, Paudyal G, Gurung R, Tabin G, Moran D, Brian G (2000) An innovation in developing world cataract surgery: sutureless extracapsular cataract extraction with intraocular lens implantation. Clin Exp Ophthalmol 28:274–279. doi:10.1046/j.1442-9071.2000.00316.x

    Article  CAS  Google Scholar 

  6. Gogate PM, Deshpande M, Wormald RP (2003) Is manual small incision cataract surgery affordable in the developing countries? A cost comparison with extracapsular cataract extraction. Br J Ophthalmol 87:843–846. doi:10.1136/bjo.87.7.843

    Article  CAS  PubMed  Google Scholar 

  7. Gogate PM, Deshpande M, Wormald RP, Deshpande R, Kulkarni SR (2003) Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial. Br J Ophthalmol 87:667–672. doi:10.1136/bjo.87.6.667

    Article  CAS  PubMed  Google Scholar 

  8. Ruit S, Tabin G, Chang D, Bajracharya L, Kline DC, Richheimer W, Shrestha M, Paudyal G (2007) A prospective randomized clinical trial of phacoemulsification vs manual sutureless small-incision extracapsular cataract surgery in Nepal. Am J Ophthalmol 143:32–38. doi:10.1016/j.ajo.2006.07.023

    Article  PubMed  Google Scholar 

  9. Gogate P, Deshpande M, Nirmalan PK (2007) Why do phacoemulsification? Manual small-incision cataract surgery is almost as effective, but less expensive. Ophthalmology 114:965–968. doi:10.1016/j.ophtha.2006.08.057

    Article  PubMed  Google Scholar 

  10. Yi DH, Sullivan BR (2002) Phacoemulsification with indocyanine green versus manual expression extracapsular cataract extraction for advanced cataract. J Cataract Refract Surg 28:2165–2169. doi:10.1016/S0886-3350(02)01359-7

    Article  PubMed  Google Scholar 

  11. Dada T, Sharma N, Vajpayee RB, Dada VK (1998) Conversion from phacoemulsification to extracapsular cataract extraction: incidence, risk factors, and visual outcome. J Cataract Refract Surg 24:1521–1524

    CAS  PubMed  Google Scholar 

  12. Blumenthal M (1994) Manual ECCE, the present state of the art. Klin Monatsbl Augenheilkd 205:266–270

    Article  CAS  PubMed  Google Scholar 

  13. Cheng JW, Wei RL, Cai JP, Xi GL, Zhu H, Li Y, Ma XY (2007) Efficacy of different intraocular lens materials and optic edge designs in preventing posterior capsular opacification: a meta-analysis. Am J Ophthalmol 143:428–436. doi:10.1016/j.ajo.2006.11.045

    Article  PubMed  Google Scholar 

  14. Li N, Chen X, Zhang J, Zhou Y, Yao X, Du L, Wei M, Liu Y (2008) Effect of AcrySof versus silicone or polymethyl methacrylate intraocular lens on posterior capsule opacification. Ophthalmology 115:830–838. doi:10.1016/j.ophtha.2007.06.037

    Article  PubMed  Google Scholar 

  15. Gogate PM, Kulkarni SR, Krishnaiah S, Deshpande RD, Joshi SA, Palimkar A, Deshpande MD (2005) Safety and efficacy of phacoemulsification compared with manual small-incision cataract surgery by a randomized controlled clinical trial: six-week results. Ophthalmology 112:869–874. doi:10.1016/j.ophtha.2004.11.055

    Article  PubMed  Google Scholar 

  16. George R, Rupauliha P, Sripriya AV, Rajesh PS, Vahan PV, Praveen S (2005) Comparison of endothelial cell loss and surgically induced astigmatism following conventional extracapsular cataract surgery, manual small-incision surgery and phacoemulsification. Ophthalmic Epidemiol 12:293–297. doi:10.1080/09286580591005778

    Article  PubMed  Google Scholar 

  17. Parmar P, Salman A, Kaliamurthy J, Prasanth DA, Thomas PA, Jesudasan CA (2006) Anterior chamber contamination during phacoemulsification and manual small-incision cataract surgery. Am J Ophthalmol 141:1160–1161. doi:10.1016/j.ajo.2006.01.046

    Article  PubMed  Google Scholar 

  18. Guzek JP, Ching A (2003) Small-incision manual extracapsular cataract surgery in Ghana, West Africa. J Cataract Refract Surg 29:57–64. doi:10.1016/S0886-3350(02)01440-2

    Article  PubMed  Google Scholar 

  19. Venkatesh R, Das M, Prashanth S, Muralikrishnan R (2005) Manual small incision cataract surgery in eyes with white cataracts. Indian J Ophthalmol 53:173–176

    Article  PubMed  Google Scholar 

  20. Bayramlar H, Hepsen IF, Yilmaz H (2007) Mature cataracts increase risk of capsular complications in manual small-incision cataract surgery of pseudoexfoliative eyes. Can J Ophthalmol 42:46–50. doi:10.3129/can.j.ophthalmol.06-085

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology, Eye Clinic, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB25 2ZN, UK

    Ghee Soon Ang, Samantha Wheelan & Frank D. Green

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  1. Ghee Soon Ang
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  2. Samantha Wheelan
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  3. Frank D. Green
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Correspondence to Ghee Soon Ang.

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Ang, G.S., Wheelan, S. & Green, F.D. Manual small incision cataract surgery in a United Kingdom university teaching hospital setting. Int Ophthalmol 30, 23–29 (2010). https://doi.org/10.1007/s10792-008-9286-3

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  • DOI: https://doi.org/10.1007/s10792-008-9286-3

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