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Small incision cataract surgery versus phacoemulsification for hard cataract

Poster Details

First Author: A.Deka INDIA

Co Author(s):    S. Saikia              

Abstract Details


To compare efficacy and safety of manual small incision cataract surgery (SICS) versus Phacoemulsification to treat mature and hard leathery cataract.


Bawri Nethralaya, India


Duration of study was one year. Group A included 40 cases of SICS and group B included 40 cases of Phacoemulsification performed with direct chop technique. Group B was subdivided in to two groups of 20 cases each using vertical and horizontal chopping. Surgical complications, operation time, post operative vision and quality of vision were compared.


Transient corneal edema was more common with group B irrespective of phacoemulsification technique (p<0.05). Operation time was significantly shorter with group A. Visual acuity was comparable in both the group at the end of 1 week and 4 weeks. The quality of vision was better in group B (p<0.05) because of less surgically induced astigmatism and better quality of intraocular lens. Posterior capsular rent was 2.5% with SICS and 5% with vertical chopping.


Phacoemulsification has upper edge over SICS for mature cataract in terms of quality of surgery and vision. However, one should perform phacoemulsification for hard lathery cataract very cautiously. FINANCIAL DISCLOSURE?: No

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