title: Corneal status following modified Blumenthal technique of manual small incision cataract surgery (MSICS) compared to phacoemulsification in treatment of grade III or more nuclear sclerosis-cohort study.
abstract: OBJECTIVE
  To evaluate the endothelial cell loss and central corneal thickness in modified Blumenthal technique of MSICS and Phacoemulsification.
  
  
  METHODS
  A prospective study in which 50 cases of nuclear sclerosis grade III (LOCS III) or more were randomized in two groups of 25 each. Group A underwent modified Blumenthal MSICS. Lens expression was facilitated by viscoelastic injection through ACM and scleral pressure by iris repositor. Group B underwent 2.8 mm phacoemulsification. Specular microscopy and pachymetry were done at 1(st) POD, 1(st), 3rd and 6th week.
  
  
  RESULTS
  No significant difference in endothelial cell loss and central corneal thickness between group A and group B (p > 0.05) was found.
  
  
  CONCLUSIONS
  This technique of MSICS is not inferior, an innovative, safe and highly effective in hard cataracts.
authors.affiliation: Department of Ophthalmology, Subharti Medical College, Meerut.
authors.forename: K
authors.initials: K
authors.lastname: Jain
authors.forename: K Ps
authors.initials: KP
authors.lastname: Mallik
authors.forename: S
authors.initials: S
authors.lastname: Gupta
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000145:classification*; D002387:Cataract Extraction / Q000379:methods*; D002452:Cell Count; D015331:Cohort Studies; D003315:Cornea / Q000503:physiopathology; D015715:Corneal Edema / Q000503:physiopathology*; D055954:Corneal Endothelial Cell Loss / Q000503:physiopathology*; D063171:Corneal Pachymetry; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D006801:Humans; D007907:Lens Nucleus, Crystalline / Q000473:pathology*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D011446:Prospective Studies; D012598:Sclerosis; D055675:Viscosupplements / Q000008:administration & dosage
chemical_list: D055675:Viscosupplements