Morya's Technique Of Nuclear Hydroexpression In Manual Small Incision Cataract Surgery
Published 2023 - 41st Congress of the ESCRS
Reference: PP04.14 | Type: Free paper | DOI: 10.82333/dfxn-ag69
Authors: Arvind KUMAR Morya* 1 , APRAJITA Sinha 2 , Rajendra Prasad 3 , K S Santhan Gopal 4
1Ophthalmology,ALL INDIA INSTITUTE OF MEDICAL SCIENCES ,HYDERABAD,India, 2Ophthalmology,NHS UK,Worcestershire,United Kingdom, 3Ophthalmology,RP Eye Institute ,New Delhi,India, 4Ophthalmology,Kamala Nethralaya,Bangalore,India
Purpose
The purpose of this study was to compare and analyze the endothelial cell loss during manual small-incision cataract surgery (MSICS) using the Morya's technique of nucleus hydroexpression technique.
Setting
Tertiary ocular healthcare centre of centre of excellence. Over 100 cases of cataract operated by manual small-incision cataract surgery (MSICS) using the Morya's technique of nucleus hydroexpression technique.
Methods
This was a prospective trial of 101 patients who underwent MSICS using Morya's technique of nucleus hydroexpression technique at a tertiary eye care hospital in North India from January 2018 to 2021. The parameters assessed were detailed history, demographics, and anterior and posterior segment details. Visual acuity, intraocular pressure (IOP), keratometry, pachymetry, and endothelial cell density were evaluated preoperatively and postoperatively on day 1 and 30.
Results
The mean age of the patients was 64.5 ± 8.2 years (range 48–82 years). There were 64 (63.2%) males and 37 (35.8%) females. The mean LogMAR visual acuity on day 1 and day 30 was statistically significant (P < 0.001), and the mean IOP value showed a statistically significant value (P < 0.009) on day 1 in and on day 30 . ( 2- 13.5 ± 2 mmHg). The mean percentage change of central corneal thickness (CCT) was 17.4% on day 1, and it was 1.1% on day 30, which was statistically significant (P < 0.001) compared to preoperative values. The percentage change in endothelial cell density on day 1 was 4.6% and on day 30, it was 4.8%, which was statistically significant (P < 0.001).
Conclusions
Our study highlights statistically significant lower endothelial cell loss with MSICS using Morya's technique of nucleus hydroexpression technique in a short follow-up of 1 month. The CCT values showed a slight increase, and the keratometry and IOP values were unaffected compared to preoperative parameters .