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Effectiveness of Manual Small-Incision Cataract Surgery in Treating White Cataracts
Riya Rani Kesh1, Sasmita Pradhan2, Rammohan G3
1Ophthalmology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, IND.
Aim:
To evaluate the outcomes of manual small-incision cataract surgery (MSICS) in patients with white cataracts, including those with systemic comorbidities.
Introduction:
Cataract remains a leading cause of blindness. MSICS is a cost-effective, safe technique suitable for white cataracts and patients with systemic conditions.
Materials And Methods:
This is a retrospective study from 108 patients (108 eyes) who underwent MSICS (May 2023 to October 2024). Preoperative assessments included ocular and systemic evaluations. Surgical outcomes and complications were analyzed.
Results:
In the present study, 99% achieved best-corrected visual acuity (BCVA) ≥ 6/18, and 89% achieved ≥ 6/9 at 45 days. Intraoperative complications were rare (one case of posterior capsular rupture). Postoperative complications occurred in 18.5% of cases (corneal edema, iritis); all were resolved before discharge.
Conclusion:
MSICS is safe, effective, and cost-efficient technique, offering excellent visual outcomes even in complex cases involving white cataracts and systemic comorbidities.
