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Aim: To compare visual outcome, postoperative surgically induced astigmatism (SIA), and postoperative complications of superior and temporal scleral incision in manual small incision cataract surgery (MSICS). Materials and Methods: A Prospective Randomized, parallel-group, active-controlled Trial Study of 80 cases of senile/pre-senile cataract. 40 cases were randomly assigned (computer-generated randomization) to superior incision and 40 cases to the temporal incision. Results: The majority of patients (38 patients- 47.5%) were in the age group of 56-65years. The next common age group was 66-75 years(31 patients-38.75%). In the superior MSICS group, the majority of patients (28 patients-70%) had a moderate post-operative unaided visual acuity of 6/18-6/12. In the temporal MSICS group, majority of patients(33patients-82.5%) had a good post-operative unaided visual acuity of 6/9-6/6. The mean surgically induced astigmatism(SIA) in the superior MSICS group was 1.12 and in the temporal MSICS group was 0.45 with a difference of 0.67. The SIA values were analyzed using the unpaired T-test which showed a value of 9.967 which was statistically significant(P value of 0.0001). Conclusion: This study has shown that the temporal approach for Manual small incision cataract surgery(MSICS) has less postoperative astigmatism and better postoperative unaided visual acuity compared to the superior approach.

tropical journal of ophthalmology and otolaryngology of siddharth health research and social welfare society

Randomized Controlled Trial of varied incision sites in Manual Small Incision Cataract Surgery done in a Medical College Hospital in Kancheepuram District, Tamil Nadu, India