Postoperative astigmatic considerations in manual small-incision cataract surgery - A review

Cataract remains a major cause of visual impairment worldwide including in India. The sutureless manual small-incision cataract surgery (MSICS) as an alternative to phacoemulsification, gives equivalent visual results at lower expenses. Still the procedure is often discredited for higher astigmatism...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2022-11, Vol.70 (11), p.3785-3790
Main Authors: Pattanayak, Sabyasachi, Mathur, Satanshu, Nanda, Ashok, Subudhi, B
Format: Article
Language:English
Subjects:
Acuity
Astigmatism
Astigmatism - etiology
Cataract
Cataract - complications
Cataract Extraction - adverse effects
Cataract Extraction - methods
Diagnosis
Humans
Lens Implantation, Intraocular - methods
manual small-incision cataract surgery
Phacoemulsification - methods
Review
Risk factors
Surgery
Surgical Wound - complications
Vision Disorders - complications
Wounds
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Summary:Cataract remains a major cause of visual impairment worldwide including in India. The sutureless manual small-incision cataract surgery (MSICS) as an alternative to phacoemulsification, gives equivalent visual results at lower expenses. Still the procedure is often discredited for higher astigmatism due to the larger size of the incision. High astigmatism is an important cause of poor uncorrected visual acuity after cataract surgery. However, there are enough studies in the literature to prove that surgically induced astigmatism (SIA) can be minimized and also eliminated by adopting appropriate wound construction techniques during surgery. Even pre-existing astigmatism if any can be neutralized by changing wound architecture during surgery. Here, we review the various techniques of scleral tunnel construction described in the literature to care for postoperative astigmatism in MSICS.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_1627_22