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Indian Journal of Clinical and Experimental Ophthalmology
Year : 2018, Volume : 4, Issue : 4
First page : ( 521) Last page : ( 252)
Print ISSN : 2395-1443. Online ISSN : 2395-1451.
Article DOI : 10.18231/2395-1451.2018.0117

An overview of complications of MSICS

Chowdary N. Lakshmi1,*, Pradhan B.2

1Professor and Head, Dept. of Ophthalmology, NRI Medical College & General Hospital, Guntur, Andhra Pradesh, India

2Post Graduate Dept. of Ophthalmology, NRI Medical College & General Hospital, Guntur, Andhra Pradesh, India

*Corresponding Author: N. Lakshmi Chowdary Email: laxmieye@gmail.com

Online published on 14 January, 2019.

Abstract

Introduction

Taking into consideration the wide spectrum of complications that follow MSICS and their influence on visual outcome, a sincere effort has been made in this study to critically analyze the incidence and the nature of various intraoperative, early and late post-operative complications among the total number of cataract extraction carried out.

Materials and Methods

A Prospective observational study of 500 cases that had undergone MSICS after a thorough preoperative ocular evaluation including detailed history and clinical examination and these cases were studied for a period of 2 years and all the intraoperative, early and late post-operative complications were noted.

Results

The commonest intraoperative complications were premature entry with iris prolapse (5%) followed by zonular dialysis (3%), commonest early post operative complications were SK (20%) and corneal edema (17%) and the commonest late post operative complications were PCO(18%) followed by astigmatism in 9% of the cases.

Conclusion

SICS gives best corrected postoperative visual acuity of 6/6 or 6/9 in a greater proportion of patients and it has all the inherent advantages of the sutureless cataract surgery in terms of universal applicability, greater wound stability, lesser complications and early visual rehabilitation.

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Keywords

Cataract surgery, Complications of MSICS, MSICS, Phacoemulsification.

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