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Type: Journal article
Title: Manual small incision extracapsular cataract surgery in Australia
Author: van Zyl, L.
Kahawita, S.
Goggin, M.
Citation: Clinical & Experimental Ophthalmology, 2014; 42(8):729-733
Publisher: Wiley
Issue Date: 2014
ISSN: 1442-6404
Statement of
Lourens van Zyl, Shyalle Kahawita and Michael Goggin
Abstract: Background: Examination of the results and describing the technique of manual small incision extracapsular cataract extraction on patients with advanced cataracts in urban Australia. Design: A descriptive case series. Participants: Thirty-eight patients at three public hospitals, one tertiary and two secondary ophthalmic units in urban Australia. Methods: Forty eyes with dense mature cataracts with hand movement vision or worse underwent a planned manual small incision extracapsular cataract extraction instead of traditional phaco-emulsification. Main Outcome Measures: Postoperative visual aquity, surgically induced astigmatism and complications. Results: Seventy-eight per cent of patients had an uncorrected visual acuity of 6/12 or better on the first postoperative day. Eighty-three per cent of patients had a distance corrected visual acuity of 6/9 or better 3 months postoperatively. One case was complicated by a posterior capsule rupture. No cases of endophthalmitis were reported. The summated vector mean of the surgically induced astigmatism was 0.089D at 93°. Conclusion: Manual small incision extracapsular cataract extraction is an efficacious cataract surgery technique with good visual outcome and is a safe alternative to phaco-emulsification in suitable cases in a first-world setting.
Keywords: cataract; manual cataract surgery; manual small incision cataract surgery; phaco-emulsification
Description: Article first published online: 30 APR 2014
Rights: © 2014 Royal Australian and New Zealand College of Ophthalmologists
RMID: 0030025040
DOI: 10.1111/ceo.12324
Appears in Collections:Opthalmology & Visual Sciences publications

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