S.P.E.C.I.A.L
(SITTING PHACOEMULSIFICATION OF CATARACT AND INTRAOCULAR LENS IMPLANTATION)
Published 2022
- 26th ESCRS Winter Meeting
Reference: FP04
| Type: Abstracts
| DOI:
10.82333/ybwf-3038
Authors:
JEBINTH BRAYAN* 1
, PRITHVI CHANDRAKANTH 2
, SIDDHARTH NARENDRAN 3
1IOL AND REFRACTIVE SERVICES, ARAVIND EYE HOSPITAL, COIMBATORE,ARAVIND EYE HOSPITAL, COIMBATORE,COIMBATORE,India, 2VITREORETINAL SERVICES,ARAVIND EYE HOSPITAL,COIMBATORE,COIMBATORE,India, 3IOL AND REFRACTIVE SERVICES,Aravind Eye Hospital, COIMBATORE,COIMBATORE,India
Purpose
1.To assess the outcome of phacoemulsification with Intra Ocular Lens Implantation in Sitting position
2.To determine the efficacy of phacoemulsification in sitting position
3.To assess the challenges faced by the surgeon in face to face sitting phacoemulsification and how to overcome them
Setting
Hospital based prospective study, done at a secondary eye care centre, study duration 3 months, sample size 25 patients, inclusion criteria - patients unable to lie flat - Spine deformity, Kyphosis, Scoliosis, Orthopnea, Meniere disease etc. detailed history, general, systemic and ocular examination done and documented
Methods
Patient was made to sit in a plastic chair erect at 90 degree face to face with the surgeon - who carried out phacoemulsification & foldable intraocular lens implantation in 27 such cases. the microscope was adjusted to make it compatible for sitting phacoemulsification. data on visual acuity, biometry, complication, vitals was then entered and analysed using SPSS software.
Results
demographic data : male (15)> female(12); male age group with highest cataract was in the range of 60-69(8 cases) and females 50-59(10cases); pre operative, intraoperative and postoperative statistics of blood pressure,pulse,spo2 were recorded which shows no statistically significant changes which means the patients had stable vitals during the surgery. BCVA-significant improvement in PostOperativeDay -1,30,60,90 days,88% patient with 6/6. On average LE surgery took 9.8mins,C.D.E energy of 9.6 & RE took 11.4mins & 17.4 C.D.E respectively. Surgery time in Mature Cataract(MC) > Immature Cataract(IMC) by 3 mins & twice the phaco energy for MC than IMC
Conclusion
S.P.E.C.I.A.L has given an insight on the statistical data on phacoemulsification carried out in sitting position. It might be the only option for some patients & this is the only study with 90degree surgery being conducted on patients who cannot lie down supine for cataract surgery.