DR. RISHWA HARIYANI

Dr.MADHU SHEKHAR, Dr. SANKARANANTHAN R. RAVILLA, DR. RISHWA HARIYANI

Abstract

Cataract surgery in patients with corneal opacity (CO) is challenging due to limited microscopic view during surgery. Two eighty-six patients of cataract with CO who underwent Manual Small Incision Cataract Surgery (MSCIS) during a 2-year period were reviewed retrospectively for intra-operative complications and post-operative visual outcomes and complications. Intra-operative complication rate (4.54%) was more than that in normal MSICS (1.99%); which included-7 posterior capsular rent with vitreous disturbance, 2 zonular dialysis, 2 iridodialysis and 2 eyes with aphakia. On follow-up, 6 patients had decentered intraocular lens and 10 had residual cortex. Median logMAR vision improved significantly(p<0.001) from1.08(5/60) pre-operatively to 0.3(6/12) post-operatively. MSCIS is thus efficient in providing favourable visual outcomes in patients where CO makes it difficult for the surgeon to perform a phacoemulsification surgery