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Manual small incision extracapsular cataract surgery in A ustralia
Author(s) -
Zyl Lourens,
Kahawita Shyalle,
Goggin Michael
Publication year - 2014
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/ceo.12324
Subject(s) - medicine , cataracts , visual acuity , surgery , endophthalmitis , astigmatism , cataract surgery , cataract extraction , ophthalmology , physics , optics
Background Examination of the results and describing the technique of manual small incision extracapsular cataract extraction on patients with advanced cataracts in urban A ustralia. Design A descriptive case series. Participants Thirty‐eight patients at three public hospitals, one tertiary and two secondary ophthalmic units in urban A ustralia. Methods Forty eyes with dense mature cataracts with hand movement vision or worse underwent a planned manual small incision extracapsular cataract extraction instead of traditional phaco‐emulsification. Main Outcome Measures Postoperative visual aquity, surgically induced astigmatism and complications. Results Seventy‐eight per cent of patients had an uncorrected visual acuity of 6/12 or better on the first postoperative day. Eighty‐three per cent of patients had a distance corrected visual acuity of 6/9 or better 3 months postoperatively. One case was complicated by a posterior capsule rupture. No cases of endophthalmitis were reported. The summated vector mean of the surgically induced astigmatism was 0.089D at 93°. Conclusion Manual small incision extracapsular cataract extraction is an efficacious cataract surgery technique with good visual outcome and is a safe alternative to phaco‐emulsification in suitable cases in a first‐world setting.