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Abstract #104936 Published in IGR 23-2
Outcomes of Manual Small Incision Cataract Surgery in Hypermature Morgagnian cataract
Christy J; Dhanaseelan T; Vivekanandan VR; Venkatesh RJournal of Cataract and Refractive Surgery 2023; 49: 50-54
PURPOSE: To evaluate the visual outcome and complication rate of Manual small incision cataract surgery (MSICS) in Hypermature Morgagnian Cataract (HMC). SETTING: Aravind eye hospital, Puducherry, India. DESIGN: Retrospective, single center study. METHODS: Case records of patients diagnosed with hypermature morgagnian cataract and who underwent MSICS (manual small incision cataract surgery) from January to December 2019 were retrospectively collected. Data was analysed for demographic details, preoperative risk factors, intraoperative/postoperative complications and visual outcome at 1-month follow-up. RESULTS: A total of 105 patients were included in the study. Preoperative risk factors like dense pseudoexfoliation were seen in 6 patients (5.7%), phacolytic glaucoma in 7 patients (6.7%), lens induced uveitis in 5 (4.7%), and phacodonesis in 30 patients (28.5%). Overall intraoperative complication rate was 14.3%, which included posterior capsular rent (n=4), zonular dialysis (n=7) and whole bag removal (n=4). Due to poor posterior capsular bag support, 7 patients (6.6%) did not receive IOL implantation in primary surgery. Both the intraoperative and postoperative complication rate were high in those with risk factors, and this difference was statistically significant (p<0.001 and 0.0005 respectively). On the first postoperative day, 70 patients (66.7%) had a BCVA better than 20/40, and at 1-month, 98 patients (93.3%) had a BCVA of 20/60 or better of which 89.5% had BCVA of ≥ 20/40. CONCLUSION: MSICS for hypermature cataract is relatively safe and yields adequate visual outcome. Preoperative risk factors, in addition to hypermaturity, increase the complication rate.
Medical consultant, Cornea & Refractive Services, Aravind Eye Hospital, Pondicherry.
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