Preferred practice of cataract surgery in brown cataract: A questionnaire-based survey among Indian ophthalmic surgeons
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Date
2022-11
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
Purpose: To determine the most preferred method of operating brown cataracts among ophthalmologists in India. Methods: A cross?sectional, questionnaire?based study was conducted among ophthalmologists all over India through electronic and social media from May 1 to June 15, 2022. All single, voluntary entries within the stipulated time period were accepted for analysis. Results: A total of 230 ophthalmologists participated in the study among which 198 (86%) preferred Manual small-incision cataract surgery (mSICS) as the first option. This was preferred due to the high risk of complications associated (40, 33.6%) as well as endothelial damage due to increased Phaco power (53, 47.9%). The majority of the surgeons (162, 70.4%) preferred a superior tunnel for SICS, and 51.7% (119) performed continuous curvilinear capsulorhexis in 100% of their cases. The most common complication encountered was posterior capsular rupture (PCR) (66%), followed by zonular dialysis (ZD) (18.7%), whole bag removal (8.3%), and Descemetæ¯ membrane detachment (7%). Conclusion: Despite diverse recent new modalities of Femto Laser assisted cataract surgery (FLACS). Phakonit, and Smart Intraocular Lens (IOLs), the majority of ophthalmologists still find the manual small-incision cataract surgery (mSICS) procedure a safe surgery for mature brown cataracts.
Description
Keywords
Brown hard cataract, mSICS, surgical complications
Citation
Anitha Venugopal, Madkaikar Aditee, Ravindran Meenakshi, Siddique Mohammed Uduman. Preferred practice of cataract surgery in brown cataract: A questionnaire-based survey among Indian ophthalmic surgeons. Indian Journal of Ophthalmology. 2022 Nov; 70(11): 3893-3897