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Assessment of astigmatism and visual acuity following manual small incision cataract surgery among patients in Suez Canal University Hospital

Poster Details

First Author: M.Mousa EGYPT

Co Author(s):    L. Loay   M. Ghoneim   M. Al-Araby   M. Zayed   O. Salem   S. Soliman

Abstract Details



Purpose:

This study aimed at assessment of the effect of manual small incision cataract surgery approach compared to other approaches of cataract surgery in fields of surgical astigmatism and post operative visual acuity.

Setting:

The study was conducted at ophthalmology outpatient clinic, inpatient wards and operating theatre at Suez Canal University hospital in Ismailia.

Methods:

The study was conducted on 27 eyes of 27 patients through a cross sectional study. The data was obtained from the records of the patients using a questionnaire.

Results:

The mean age of the total 27 patients was 62.75 ± 10.64 years. They included 15 female patients (55.6%) and 12 male patients (44.4%). Cortical and nuclear cataracts were the most common types of cataract among the study population (33.3%). 18.5% of the patients had Corticonuclear cataract, while only 14.8% have posterior sub capsular cataract. The preoperative visual acuity was less than 660 in 23 patients (85.2%) while it was postoperatively less than 660 in 0 patients (0%). The preoperative visual acuity was 69-66 in 0 patients (0%) while postoperative unaided visual acuity was 69-66 in 17 patients (63%) and postoperative best corrected visual acuity was 69-66 in 20 patients (74.1%). The pre operative corneal astigmatism was 0.99 ± 0.76D The post operative astigmatism at three months was 1.12 ± 0.78D. p-value here = 0.213 so there is no statistically significant difference.

Conclusions:

Manual small incision cataract surgery produces minimal surgical induced astigmatism and gives significant improvement in visual acuity. Manual small incision cataract surgery is good alternative surgical technique to phacoemulsification for cataract surgery in developing countries due to its low costs and good results. FINANCIAL INTEREST: NONE

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