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ORIGINAL ARTICLE
Year : 2016  |  Volume : 4  |  Issue : 4  |  Page : 194-197

Efficacy of manual small incision cataract surgery in preventing the endothelial cell loss


1 Professor and HOD, Department of Ophthalmology, Malla Reddy Medical College for Women, Hyderabad, India
2 Senior Resident, Department of Ophthalmology, Sarojini Devi Eye Hospital, Hyderabad, India
3 Assistant Professor, Department of Ophthalmology, Sarojini Devi Eye Hospital, Hyderabad, India

Correspondence Address:
P V Nanda Kumar Reddy
Professor and HOD, Department of Ophthalmology, Malla Reddy Medical College for Women, Hyderabad
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2321-7006.302276

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Background: Every year 5 million cataract surgeries are performed in India. Two major procedures are used to conduct cataract operations either MSICS/Phecoemulisfication. In both the procedures the loss of endothelial cells are observed. The present study is based on comparison of endothelial cell loss in both the procedures. Objectives: The aim of the study is to compare endothelial cell loss after manual small incision cataract surgery (MSICS) and Phacoemulsification by specular microscopy. Methods: Present study was conducted at Sarojini Devi Eye Hospital, Hyderabad from 2013-14. Total number of eyes studied was 100 in 100 study subjects who were age and sex matched and divided into two groups of 50 eyes of 50 study population. Group I patients underwent Phaecoemulsification & Group II with MSICS by the same operating surgeon from 2013-14. The patients were evaluated on first post operative day, first week, 6 weeks and 6 months for endothelial density. Endothelial density was evaluated through Specular Microscopy EM 3000, Tomey. Best image of 15 shots was taken to evaluate endothelial density. Results: Mean age in both the groups was 58 and 59 years. Equal number was taken sex wise in both the groups. The mean endothelial loss was 200 cells/mm2 & 250 cells/mm2 in Group I & II respectively. Conclusions: In phacoemulsification group, the maneuvering was performed in the capsular bag and newer advanced phacoemulsification units with better fluidics reduced the chances of endothelial damage. In MSICS group, Visco-expression of the nucleus significantly reduced the endothelial cell loss.


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