Open AccessComparison of the Outcomes of Manual Small Incision Cataract Surgery (MSICS) and Phacoemulsification (PHACO) in Ghana
Author(s) -
Samuel Kyei,
Ebenezer Zaabaar,
Frank Assiamah,
Michael Agyemang Kwarteng,
Kofi Asiedu
Publication year - 2021
Publication title -
the annals of african surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 4
eISSN - 2523-0816
pISSN - 1999-9674
DOI - 10.4314/aas.v18i3.4
Subject(s) - phacoemulsification , medicine , cataract surgery , visual acuity , ophthalmology , medical record , surgery
Background: The growing middle-class population of Ghana has seen more people being employed in visually demanding occupations and hence there is an increased desire for quality post-cataract surgical visual outcomes. This study aimed at comparing the outcomes of manual small incision cataract surgery (MSICS) and phacoemulsification (PHACO) among Ghanaians.
Methods: This was a retrospective cross-sectional study in which records of patients who underwent MSCIS or phacoemulsification by the same surgeon were reviewed.
Results: Medical records of 248 eyes were reviewed, out of which 132 underwent PHACO and 116 had MSICS. A significant number of the PHACO group had good (6/6–6/18) uncorrected visual acuity (UCVA) compared to the MSICS group at 1–2 weeks follow-up (p = 0.003) and 4–6 weeks follow-up (p = 0.002). MSICS resulted in a higher total astigmatic change compared to PHACO (p < 0.001). The PHACO grouphad a higher number of postoperative complications compared with the MSICS group (p <0.001). Postoperative borderline and poor uncorrected visual acuity were associated with age, total astigmatic change, and postoperative complications.
Conclusion: The postoperative UCVA outcomes at 4–6 weeks’ follow-up indicates that PHACO resulted in noticeably less spectacle dependency when compared to MSICS.