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

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.