Authors: Nithisha TM, Sandhya B, Neethu N, Remya Joseph Parappallil
Introduction: Objective of the study was to measure the difference in the visual outcome and complications following manual small incision cataract surgery and phacoemulsification and to suggest on the most appropriate treatment option in developing countries. Materials and Methods: The sample comprised of 50 eyes from 50 patients in this study. From the total of 50 patients, 25 patients were enrolled into MSICS and 25 into phacoemulsification. They were studied for a period of 5 months. They were asked to review on immediate post- operative day 1,2nd week and 6th week. Results: In this study 54% were women and46% were men. The commonest age group was between 51- 60. The BCVA of 6/9-6/6 obtained was 72% in the MSICS group and 80% in phacoemulsification group. In MSICS group 52% and in phacoemulsification group 42% had no complications. The most common complication in MSICS was surgically induced astigmatism (24%) and PCR (24%) in phacoemulsification. Conclusion: The visual outcome attained by both MSICS and phacoemulsification were statistically similar with low complication rates. MSICS being faster, safer and low technology dependent can be accepted as an alternative to phacoemulsification. Keywords: Cataract, MSICS, Phacoemulsification.
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