Outcomes of coaxial microincision cataract surgery versus conventional phacoemulsification surgery

  • Anu Malik HINDU RAO HOSPITAL
  • Smruti Ranjan Dethi
  • Yogesh Kumar Gupta
  • Alka Gupta
DOI: https://doi.org/10.35119/asjoo.v16i3.458
Keywords: conventional phacoemulsification, coaxial microincision cataract surgery, surgical induced astigmatism

Abstract

Aim: To compare surgical parameters and visual outcomes of coaxial microincision cataract surgery (MICS) with standard phacoemulsification.

Methods: A prospective randomized study was conducted on 60 eyes of 60 patients with age-related uncomplicated cataract who underwent: standard phacoemulsification surgery (30 eyes) i.e., Group 1, or coaxial MICS (30 eyes) i.e., Group 2. Intraoperative parameters were mean effective phacoemulsification power (EPP), effective phacoemulsification time (EPT), and total volume of balanced salt solution (BSS) used. Best-corrected visual acuity (BCVA) and surgically induced astigmatism (SIA) were evaluated pre- and postoperatively.

Results: Mean BCVA at 6 weeks was 0.04 ± 0.07 in Group 1 and 0.05 ± 0.08 in Group 2. No significant difference was observed in SIA between the two groups. Mean EPT was 29.80 ± 3.67 seconds in Group 1 and 31.93 ± 4.08 seconds in Group 2. The mean total EPP in Group 1 was 35.77 ± 5.17%, whereas it was 33.70 ± 3.05% in Group 2. There was a significant statistical difference between mean EPP and EPT in the two groups. Mean total BSS volume used in Group 1 was 128.83 ± 19.81 ml, whereas it was 139.33 ± 13.57 ml in Group 2.

Conclusion: Although EPT and BSS volume used were significantly higher in coaxial MICS, the postoperative results of the two techniques were comparable.

Author Biography

Anu Malik, HINDU RAO HOSPITAL

OPTHALMOLOGY

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Published
2019-01-17
How to Cite
Malik, A., Dethi, S., Gupta, Y., & Gupta, A. (2019). Outcomes of coaxial microincision cataract surgery versus conventional phacoemulsification surgery. Asian Journal of Ophthalmology, 16(3), 168-178. https://doi.org/10.35119/asjoo.v16i3.458
Issue
Vol 16 No 3 (2019): Asian Journal of Ophthalmology
Section
Original Articles

Copyright (c) 2019 Asian Journal of Ophthalmology

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