Related Experiment Video
Updated: Mar 6, 2026
05:19
Author Spotlight: Unraveling the Molecular Mechanisms in PCO and Fibrosis Following Cataract Surgery
Published on: December 1, 2023
1.7K
Visual Outcome of Phacoemulsification versus Small Incision Cataract Surgery in Pseudoexfoliation Syndrome - A Pilot
Anmol Ulhas Naik1, Shveta Bhimashankar Gadewar2
1Specialty Medical Officer, Department of Ophthalmology, BMC Eye Hospital , Mumbai, Maharashtra, India .
Journal of Clinical and Diagnostic Research : JCDR
|March 10, 2017
Summary
Phacoemulsification (PHACO) and Small Incision Cataract Surgery (SICS) show similar safety and visual outcomes in Pseudoexfoliation (PEX) syndrome. Both cataract surgery techniques are effective for PEX patients, with careful assessment crucial for optimal results.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Cataract Surgery
Background:
- Pseudoexfoliation (PEX) syndrome is a common condition affecting cataract surgery outcomes.
- Phacoemulsification (PHACO) and Small Incision Cataract Surgery (SICS) are widely used for cataract extraction, especially in developing countries.
- Limited direct comparative data exists for PHACO versus SICS specifically in patients with PEX syndrome.
Purpose of the Study:
- To compare the efficacy and safety of PHACO versus SICS in patients with PEX syndrome undergoing cataract surgery.
- To analyze visual outcomes and complication rates between the two surgical techniques in this specific patient population.
Main Methods:
- A prospective, observational pilot study conducted over six months in India.
- 100 patients (200 eyes) with PEX syndrome were divided into two groups: 50 undergoing PHACO and 50 undergoing SICS.
- Data collected included demographic profiles, pre-operative, intra-operative, and post-operative details, complications, and visual acuity. Statistical analysis used the chi-square test with a p-value <0.05.
Main Results:
- No statistically significant differences were found in overall intra-operative complications between PHACO (n=13) and SICS (n=21) groups (p=0.13).
- Controlled sphincterotomy was required more frequently in the SICS group (p=0.03).
- No statistically significant differences were observed in post-operative complications between the PHACO (n=5) and SICS (n=10) groups (p=0.26).
Conclusions:
- Both Phacoemulsification (PHACO) and Small Incision Cataract Surgery (SICS) appear to be safe and effective procedures for cataract extraction in patients with Pseudoexfoliation (PEX) syndrome.
- Careful pre-operative assessment, intra-operative modifications, and surgical expertise are key factors for successful outcomes with either technique.
- The study highlights the comparable safety profiles of both surgical methods in the context of PEX syndrome.
Related Concept Videos
01:28Angle Closure Glaucoma: Treatment
1.5K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.5K
01:25Glaucoma: Overview
1.6K
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.6K