DR. JEBINTH BRAYAN

DR. PRITHVI CHANDRAKANTH, Dr. SIDDHARTH NARENDRAN, Dr.AMARTYAJIT MUKHERJEE

Abstract

Phacoemulsification sx in patients who are unable to lie down flat(kyphosis,cns abnormality.etc), the supine position may not be an option. We assess the outcome of phaco with IOL Implantation in Sitting position- Hospital based Prospective study – 6 months. patient is seated upright 90deg on chair with the head kept on wall – surgeons chair faces the patient – phaco done by same surgeon – analysed in 27patients. Male > female,statistics of bp,pulse,spo2,iop shows no statistically significant changes – stable vitals during the surgery. BCVA-significant improvement in POD1,30,60,90 days,88% patient with 6/6.on avg LE sX took 9.8mins,CDE energy of 9.6 & RE took 11.4mins &17.4 respectively. Sx time in MC > IMC by 3 mins & twice the phaco energy for MC than IMC.proved to keep general condition stable during surgery, very less visual complications. It might be the only option for some patients & only study with 90deg sx being conducted on patients who cannot lie down supine for phaco sx.

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