Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients

Aim: To describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection. Methods: We reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens im...

Full description

Saved in:
Bibliographic Details
Published in:Therapeutic advances in ophthalmology 2015-01, Vol.7, p.35
Main Authors: Giles, Kagmeni, Domngang, Christelle, Nguefack-Tsague, Georges, Come, Ebana Mvogo, Wiedemann, Peter
Format: Article
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page
container_issue
container_start_page 35
container_title Therapeutic advances in ophthalmology
container_volume 7
creator Giles, Kagmeni
Domngang, Christelle
Nguefack-Tsague, Georges
Come, Ebana Mvogo
Wiedemann, Peter
description Aim: To describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection. Methods: We reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens implantation. Classic extracapsular cataract extraction (ECCE) was compared to mSICS. The number of potentially risky steps for contamination during surgery and duration of surgery were analyzed. A risky step was defined as any time when the surgeon had to use a sharp instrument. Student's paired t-test was carried out to compare continuous variables, and P-values
format article
fullrecord <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_journals_1736872409</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3878549191</sourcerecordid><originalsourceid>FETCH-proquest_journals_17368724093</originalsourceid><addsrcrecordid>eNqNi8sKwjAURIMgWLT_cMF1IX3XdVFaUBAqLtyUS5tKSprUJF3490bwA2QWh-HMrIgXpWEaFEmYbIhvzEgpjVxolnnkcVE9HzjroZlQCKhlxw1XEkq0qLGz0Cz6yfQbUPbOWo2qWwRqODNpoJ5mgdKi_V64hKq-w9U1Jq3ZkfWAwjD_xy3Zn463sgpmrV4LM7Yd1aKlU22Yx1mRRwk9xP-tPu-JQj0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1736872409</pqid></control><display><type>article</type><title>Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients</title><source>Publicly Available Content Database</source><creator>Giles, Kagmeni ; Domngang, Christelle ; Nguefack-Tsague, Georges ; Come, Ebana Mvogo ; Wiedemann, Peter</creator><creatorcontrib>Giles, Kagmeni ; Domngang, Christelle ; Nguefack-Tsague, Georges ; Come, Ebana Mvogo ; Wiedemann, Peter</creatorcontrib><description>Aim: To describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection. Methods: We reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens implantation. Classic extracapsular cataract extraction (ECCE) was compared to mSICS. The number of potentially risky steps for contamination during surgery and duration of surgery were analyzed. A risky step was defined as any time when the surgeon had to use a sharp instrument. Student's paired t-test was carried out to compare continuous variables, and P-values &lt;0.05 were considered statistically significant. Results: Twenty patients were included in the study, 13 males (65%) and seven females (35%). The mean age was 46.3 ± 13.6 years (range 22-70 years). The number of potentially risky steps for contamination was significantly higher in the classical ECCE than in mSICS (P &lt; 0.001). The mean duration of cataract surgery with mSICS was significantly shorter as well (P &lt; 0.001). Conclusion: Conversion to mSICS is essential in order to reduce accidental injuries during cataract surgery in sub-Saharan countries. Sharp instruments should be passed through a neutral zone to ensure that the surgeon and nurse do not touch the same instrument at the same time.</description><identifier>EISSN: 2515-8414</identifier><language>eng</language><publisher>London: Sage Publications Ltd</publisher><ispartof>Therapeutic advances in ophthalmology, 2015-01, Vol.7, p.35</ispartof><rights>Copyright Libertas Academica Ltd 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1736872409?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,25734,36993,44571</link.rule.ids></links><search><creatorcontrib>Giles, Kagmeni</creatorcontrib><creatorcontrib>Domngang, Christelle</creatorcontrib><creatorcontrib>Nguefack-Tsague, Georges</creatorcontrib><creatorcontrib>Come, Ebana Mvogo</creatorcontrib><creatorcontrib>Wiedemann, Peter</creatorcontrib><title>Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients</title><title>Therapeutic advances in ophthalmology</title><description>Aim: To describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection. Methods: We reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens implantation. Classic extracapsular cataract extraction (ECCE) was compared to mSICS. The number of potentially risky steps for contamination during surgery and duration of surgery were analyzed. A risky step was defined as any time when the surgeon had to use a sharp instrument. Student's paired t-test was carried out to compare continuous variables, and P-values &lt;0.05 were considered statistically significant. Results: Twenty patients were included in the study, 13 males (65%) and seven females (35%). The mean age was 46.3 ± 13.6 years (range 22-70 years). The number of potentially risky steps for contamination was significantly higher in the classical ECCE than in mSICS (P &lt; 0.001). The mean duration of cataract surgery with mSICS was significantly shorter as well (P &lt; 0.001). Conclusion: Conversion to mSICS is essential in order to reduce accidental injuries during cataract surgery in sub-Saharan countries. Sharp instruments should be passed through a neutral zone to ensure that the surgeon and nurse do not touch the same instrument at the same time.</description><issn>2515-8414</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNqNi8sKwjAURIMgWLT_cMF1IX3XdVFaUBAqLtyUS5tKSprUJF3490bwA2QWh-HMrIgXpWEaFEmYbIhvzEgpjVxolnnkcVE9HzjroZlQCKhlxw1XEkq0qLGz0Cz6yfQbUPbOWo2qWwRqODNpoJ5mgdKi_V64hKq-w9U1Jq3ZkfWAwjD_xy3Zn463sgpmrV4LM7Yd1aKlU22Yx1mRRwk9xP-tPu-JQj0</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Giles, Kagmeni</creator><creator>Domngang, Christelle</creator><creator>Nguefack-Tsague, Georges</creator><creator>Come, Ebana Mvogo</creator><creator>Wiedemann, Peter</creator><general>Sage Publications Ltd</general><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AYAGU</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20150101</creationdate><title>Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients</title><author>Giles, Kagmeni ; Domngang, Christelle ; Nguefack-Tsague, Georges ; Come, Ebana Mvogo ; Wiedemann, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_17368724093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Giles, Kagmeni</creatorcontrib><creatorcontrib>Domngang, Christelle</creatorcontrib><creatorcontrib>Nguefack-Tsague, Georges</creatorcontrib><creatorcontrib>Come, Ebana Mvogo</creatorcontrib><creatorcontrib>Wiedemann, Peter</creatorcontrib><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Australia &amp; New Zealand Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Therapeutic advances in ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Giles, Kagmeni</au><au>Domngang, Christelle</au><au>Nguefack-Tsague, Georges</au><au>Come, Ebana Mvogo</au><au>Wiedemann, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients</atitle><jtitle>Therapeutic advances in ophthalmology</jtitle><date>2015-01-01</date><risdate>2015</risdate><volume>7</volume><spage>35</spage><pages>35-</pages><eissn>2515-8414</eissn><abstract>Aim: To describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection. Methods: We reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens implantation. Classic extracapsular cataract extraction (ECCE) was compared to mSICS. The number of potentially risky steps for contamination during surgery and duration of surgery were analyzed. A risky step was defined as any time when the surgeon had to use a sharp instrument. Student's paired t-test was carried out to compare continuous variables, and P-values &lt;0.05 were considered statistically significant. Results: Twenty patients were included in the study, 13 males (65%) and seven females (35%). The mean age was 46.3 ± 13.6 years (range 22-70 years). The number of potentially risky steps for contamination was significantly higher in the classical ECCE than in mSICS (P &lt; 0.001). The mean duration of cataract surgery with mSICS was significantly shorter as well (P &lt; 0.001). Conclusion: Conversion to mSICS is essential in order to reduce accidental injuries during cataract surgery in sub-Saharan countries. Sharp instruments should be passed through a neutral zone to ensure that the surgeon and nurse do not touch the same instrument at the same time.</abstract><cop>London</cop><pub>Sage Publications Ltd</pub><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier EISSN: 2515-8414
ispartof Therapeutic advances in ophthalmology, 2015-01, Vol.7, p.35
issn 2515-8414
language eng
recordid cdi_proquest_journals_1736872409
source Publicly Available Content Database
title Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T18%3A01%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Modified%20Small%20Incision%20Cataract%20Surgery%20and%20Intraocular%20Lens%20Implantation%20in%20HIV%20Patients&rft.jtitle=Therapeutic%20advances%20in%20ophthalmology&rft.au=Giles,%20Kagmeni&rft.date=2015-01-01&rft.volume=7&rft.spage=35&rft.pages=35-&rft.eissn=2515-8414&rft_id=info:doi/&rft_dat=%3Cproquest%3E3878549191%3C/proquest%3E%3Cgrp_id%3Ecdi_FETCH-proquest_journals_17368724093%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1736872409&rft_id=info:pmid/&rfr_iscdi=true