title: Feasibility and Complications between Phacoemulsification and Manual Small Incision Surgery in Subluxated Cataract.
abstract: Purpose. To compare the feasibility of cataract surgery with implantation of endocapsular supporting devices and intraocular lens (IOL) in subluxated cataract in phacoemulsification and manual small incision cataract surgery (MSICS). Design. Prospective randomized intervention case series consisting of 60 eyes with visually significant subluxated cataract. Method. The patients were randomly distributed between the two groups equally. The main outcome measure was implantation of in-the-bag IOL, requirement of additional procedure and complications, if any. Results. Capsular bag retention in subluxated lenses is possible in 90% cases in phacoemulsification versus 76.67% cases in MSICS (P = 0.16). Both groups, achieved similar best corrected visual acuity (P = 0.73), although additional procedures, intraoperative, and postoperative complications were more common in MSICS. Conclusions. Achieving intact capsulorhexis and nuclear rotation in MSICS may be difficult in cases with large nucleus size and severe subluxation, but subluxated cataracts can be effectively managed by both phacoemuslification and MSICS.
authors.affiliation: Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi 110002, India.
authors.forename: Ruchi
authors.initials: R
authors.lastname: Goel
authors.forename: Saurabh
authors.initials: S
authors.lastname: Kamal
authors.forename: Sushil
authors.initials: S
authors.lastname: Kumar
authors.forename: Jugal
authors.initials: J
authors.lastname: Kishore
authors.forename: K P S
authors.initials: KP
authors.lastname: Malik
authors.forename: Sonam
authors.initials: S
authors.lastname: Angmo Bodh
authors.forename: Smriti
authors.initials: S
authors.lastname: Bansal
authors.forename: Madhu
authors.initials: M
authors.lastname: Singh