Manual small incision extracapsular cataract surgery in Australia
Lourens van Zyl1, Shyalle Kahawita, Michael Goggin
1South Australian Institute of Ophthalmology, University of Adelaide, Adelaide, South Australia, Australia.
Clinical & Experimental Ophthalmology
|March 18, 2014
Summary
Manual small incision extracapsular cataract extraction is an effective and safe surgical option for advanced cataracts, offering good visual outcomes. This technique provides a viable alternative to phacoemulsification in suitable patients.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Manual small incision extracapsular cataract extraction (MICS) is evaluated in urban Australia.
- The study focuses on patients with advanced cataracts.
- This technique is presented as an alternative to traditional phacoemulsification.
Purpose of the Study:
- To describe the technique of manual small incision extracapsular cataract extraction.
- To evaluate the outcomes of MICS in patients with advanced cataracts.
- To assess the safety and efficacy of MICS as an alternative to phacoemulsification.
Main Methods:
- A descriptive case series was conducted.
- Thirty-eight patients (40 eyes) with dense mature cataracts were included.
- The study was performed in three public hospitals in urban Australia.
Main Results:
- 78% of patients achieved uncorrected visual acuity of 6/12 or better postoperatively.
- 83% achieved distance-corrected visual acuity of 6/9 or better at 3 months.
- Low surgically induced astigmatism (0.089D) and no endophthalmitis were reported; one posterior capsule rupture occurred.
Conclusions:
- Manual small incision extracapsular cataract extraction is an efficacious surgical technique.
- It provides good visual outcomes and is a safe alternative to phacoemulsification.
- MICS is suitable for specific cases in developed healthcare settings.
