Study of intraoperative and postoperative complications and visual outcome of SICS (Small Incision Cataract Surgery) in patients with pseudoexfoliation syndrome

Authors

  • Ravi Chauhan Professor, Department of Ophthalmology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
  • Rahul Dagwar Associate Professor, Department of Ophthalmology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
  • Sachin Agrawal Associate Professor, Department of Ophthalmology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
  • Aditi Pradiprao Yadgire Junior Resident, Department of Ophthalmology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India

Abstract

Aim: To study intraoperative and postoperative complications and analyse visual outcomes in patients with pseudoexfoliation syndrome undergoing SICS. Settings and Design: Hospital based prospective interventional study in a tertiary care hospital. Methods and materials: A prospective interventional study was carried out on 60 patients with cataract and pseudoexfoliation who underwent SICS in a tertiary care hospital and patients were followed up for 6 months and final visual outcome analysed. Results: Mean age at which patients were operated was 70 years. 43.33% of patients were male and 56.67% were females. 44 (73.33%) patients had inadequate pupillary dilatation (≤ 6mm). Intraoperatively, difficulty in capsulorrhexis occurred in 26 (43.33%) patients, zonular dialysis was seen in 8 (13.33%) patients, 2 (3.33%) patients had posterior capsular rent with vitreous loss in whom anterior vitrectomy was done and SFIOL was implanted after 2 months. Early Postoperative complications were corneal edema in 26.66%, retained cortical matter in the bag in 10%, iritis in 10% and elevated IOP in 3.33%. Late postoperative complications at 6 months were IOL decentration in 3.33% and posterior capsular opacification in 3.33%. Final BCVA at 6 months was 6/6-6/12 in 58 (96.67%) patients and 6/18-6/36 in 2 (3.33%) patients. Conclusion: SICS in patients with PXF is associated with vision threatening complications which can be reduced by thorough preoperative evaluation, and with appropriate intraoperative measures, good visual outcome can be achieved.

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Published

2021-10-20

How to Cite

Ravi Chauhan, Rahul Dagwar, Sachin Agrawal, & Aditi Pradiprao Yadgire. (2021). Study of intraoperative and postoperative complications and visual outcome of SICS (Small Incision Cataract Surgery) in patients with pseudoexfoliation syndrome. International Journal of Health and Clinical Research, 4(18), 24–28. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/2877