ABSTRACT NUMBER - 1403

MANUAL SMALL INCISION EXTRA-CAPSULARCATARACT SURGERY IN AUSTRALIA


Lourens van Zyl, Michael Goggin, Shyalle Kahawita

Meeting:  2014 RANZCO


SESSION INFORMATION

Date: 24 Nov 2014

Session Title: FREE PAPERS

Session Time: 2:00 pm - 3:30 pm

Purpose:
Examination of the results and describingthe technique of manual small incision extra-capsularcataract extraction (MSICS) on patients with advancedcataracts in urban Australia.

Methods:
40 eyes with dense mature cataracts withhand movement vision or worse underwent a plannedMSICS instead of traditional phaco-emulsification atthree public hospitals, one tertiary and two secondaryophthalmic units in urban Australia.

Results:
78% of patients had an uncorrected visualacuity of 6/12 or better on the first post operative day.83% of patients had a distance corrected visual acuityof 6/9 or better three months postoperatively. One casewas complicated by a posterior capsule rupture. Nocases of endophthalmitis were reported. Thesummated vector mean of the surgically induced astig-matism was 0.089D at 930.

Conclusion:
MSICS is an efficacious cataract surgerytechnique with good visual outcome and is a safe alter-native to phacoemulsification in suitable cases in a firstworld setting.

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