A Comparative Study of Corneal Complications in Small Incision Cataract Surgery and Phacoemulsification
Keywords:SICS, Phacoemulsification, Striate keratopathy, Microcystic edema, Descemet’s membrane detachment.
Methods: The present study was done among 80 patients from them 40 patients underwent SICS (group-1)
and 40 underwent phacoemulsification(group-2) ,both with posterior chamber intraocular lens implantation.
Post-operative corneal complication were reviewed with slit lamp examination on the 1st, 7thand 30th postoperative day.
Results: In our study 80 eyes from 80 patient included from which 40 eyes in group-1 and 40 eyes for
group-2. Mean age of patients was 58 years. Among 80 eyes 34 eyes developed corneal complication after
cataract surgery. Total corneal complication rate after cataract surgery (SICS+ Phacoemulsification) was
42.5%.out of them 17.5% and 25% corneal complication occur in SICS and phacoemulsification respectively.
22% ,7%,3%,3% rate of mild striate keratopathy, moderate striate keratopathy, edema, descemet’s
membrane detachment respectively in group-1(SICS). 20%,15%,10%,5% rate of mild striate keratopathy,
moderate striate keratopathy, micro cystic edema, descemet’s membrane detachment respectively in group2(phacoemulsification).
There was statistically significant difference of corneal complication between manual small incision cataract
surgery and phacoemulsification surgery at 1st postoperative day. After 1month follow-up there was no
statistically difference of corneal complication in both groups.
Conclusion: Corneal complication on follow-up were almost similar in both phacoemulsification and small
incision cataract surgery
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