Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis

Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent...
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Autor*in:	Sankar Ananthan Ravindran [verfasserIn] P R Aswin [verfasserIn] Madhu Shekhar [verfasserIn] Janani Rajendran [verfasserIn] Siddharth Narendran [verfasserIn] Ravilla D Ravindran [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	brunescent cataract hard cataract manual small-incision cataract surgery phacoemulsification

Übergeordnetes Werk:	In: TNOA Journal of Ophthalmic Science and Research - Wolters Kluwer Medknow Publications, 2020, 58(2020), 2, Seite 74-77
Übergeordnetes Werk:	volume:58 ; year:2020 ; number:2 ; pages:74-77

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4103/tjosr.tjosr_108_19

Katalog-ID:	DOAJ01029919X

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245	1	0	\|a Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis
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520			\|a Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes.
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allfields	10.4103/tjosr.tjosr_108_19 doi (DE-627)DOAJ01029919X (DE-599)DOAJd9623ebfb1314cd2bc4808f986a9c262 DE-627 ger DE-627 rakwb eng RE1-994 Sankar Ananthan Ravindran verfasserin aut Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes. brunescent cataract hard cataract manual small-incision cataract surgery phacoemulsification Ophthalmology P R Aswin verfasserin aut Madhu Shekhar verfasserin aut Janani Rajendran verfasserin aut Siddharth Narendran verfasserin aut Ravilla D Ravindran verfasserin aut In TNOA Journal of Ophthalmic Science and Research Wolters Kluwer Medknow Publications, 2020 58(2020), 2, Seite 74-77 (DE-627)1737591251 25894536 nnns volume:58 year:2020 number:2 pages:74-77 https://doi.org/10.4103/tjosr.tjosr_108_19 kostenfrei https://doaj.org/article/d9623ebfb1314cd2bc4808f986a9c262 kostenfrei http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=2;spage=74;epage=77;aulast=Ravindran kostenfrei https://doaj.org/toc/2589-4528 Journal toc kostenfrei https://doaj.org/toc/2589-4536 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 2 74-77
spelling	10.4103/tjosr.tjosr_108_19 doi (DE-627)DOAJ01029919X (DE-599)DOAJd9623ebfb1314cd2bc4808f986a9c262 DE-627 ger DE-627 rakwb eng RE1-994 Sankar Ananthan Ravindran verfasserin aut Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes. brunescent cataract hard cataract manual small-incision cataract surgery phacoemulsification Ophthalmology P R Aswin verfasserin aut Madhu Shekhar verfasserin aut Janani Rajendran verfasserin aut Siddharth Narendran verfasserin aut Ravilla D Ravindran verfasserin aut In TNOA Journal of Ophthalmic Science and Research Wolters Kluwer Medknow Publications, 2020 58(2020), 2, Seite 74-77 (DE-627)1737591251 25894536 nnns volume:58 year:2020 number:2 pages:74-77 https://doi.org/10.4103/tjosr.tjosr_108_19 kostenfrei https://doaj.org/article/d9623ebfb1314cd2bc4808f986a9c262 kostenfrei http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=2;spage=74;epage=77;aulast=Ravindran kostenfrei https://doaj.org/toc/2589-4528 Journal toc kostenfrei https://doaj.org/toc/2589-4536 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 2 74-77
allfields_unstemmed	10.4103/tjosr.tjosr_108_19 doi (DE-627)DOAJ01029919X (DE-599)DOAJd9623ebfb1314cd2bc4808f986a9c262 DE-627 ger DE-627 rakwb eng RE1-994 Sankar Ananthan Ravindran verfasserin aut Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes. brunescent cataract hard cataract manual small-incision cataract surgery phacoemulsification Ophthalmology P R Aswin verfasserin aut Madhu Shekhar verfasserin aut Janani Rajendran verfasserin aut Siddharth Narendran verfasserin aut Ravilla D Ravindran verfasserin aut In TNOA Journal of Ophthalmic Science and Research Wolters Kluwer Medknow Publications, 2020 58(2020), 2, Seite 74-77 (DE-627)1737591251 25894536 nnns volume:58 year:2020 number:2 pages:74-77 https://doi.org/10.4103/tjosr.tjosr_108_19 kostenfrei https://doaj.org/article/d9623ebfb1314cd2bc4808f986a9c262 kostenfrei http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=2;spage=74;epage=77;aulast=Ravindran kostenfrei https://doaj.org/toc/2589-4528 Journal toc kostenfrei https://doaj.org/toc/2589-4536 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 2 74-77
allfieldsGer	10.4103/tjosr.tjosr_108_19 doi (DE-627)DOAJ01029919X (DE-599)DOAJd9623ebfb1314cd2bc4808f986a9c262 DE-627 ger DE-627 rakwb eng RE1-994 Sankar Ananthan Ravindran verfasserin aut Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes. brunescent cataract hard cataract manual small-incision cataract surgery phacoemulsification Ophthalmology P R Aswin verfasserin aut Madhu Shekhar verfasserin aut Janani Rajendran verfasserin aut Siddharth Narendran verfasserin aut Ravilla D Ravindran verfasserin aut In TNOA Journal of Ophthalmic Science and Research Wolters Kluwer Medknow Publications, 2020 58(2020), 2, Seite 74-77 (DE-627)1737591251 25894536 nnns volume:58 year:2020 number:2 pages:74-77 https://doi.org/10.4103/tjosr.tjosr_108_19 kostenfrei https://doaj.org/article/d9623ebfb1314cd2bc4808f986a9c262 kostenfrei http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=2;spage=74;epage=77;aulast=Ravindran kostenfrei https://doaj.org/toc/2589-4528 Journal toc kostenfrei https://doaj.org/toc/2589-4536 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 2 74-77
allfieldsSound	10.4103/tjosr.tjosr_108_19 doi (DE-627)DOAJ01029919X (DE-599)DOAJd9623ebfb1314cd2bc4808f986a9c262 DE-627 ger DE-627 rakwb eng RE1-994 Sankar Ananthan Ravindran verfasserin aut Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes. brunescent cataract hard cataract manual small-incision cataract surgery phacoemulsification Ophthalmology P R Aswin verfasserin aut Madhu Shekhar verfasserin aut Janani Rajendran verfasserin aut Siddharth Narendran verfasserin aut Ravilla D Ravindran verfasserin aut In TNOA Journal of Ophthalmic Science and Research Wolters Kluwer Medknow Publications, 2020 58(2020), 2, Seite 74-77 (DE-627)1737591251 25894536 nnns volume:58 year:2020 number:2 pages:74-77 https://doi.org/10.4103/tjosr.tjosr_108_19 kostenfrei https://doaj.org/article/d9623ebfb1314cd2bc4808f986a9c262 kostenfrei http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=2;spage=74;epage=77;aulast=Ravindran kostenfrei https://doaj.org/toc/2589-4528 Journal toc kostenfrei https://doaj.org/toc/2589-4536 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 58 2020 2 74-77
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Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). 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Shekhar</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Janani Rajendran</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Siddharth Narendran</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ravilla D Ravindran</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">TNOA Journal of Ophthalmic Science and Research</subfield><subfield code="d">Wolters Kluwer Medknow Publications, 2020</subfield><subfield code="g">58(2020), 2, Seite 74-77</subfield><subfield code="w">(DE-627)1737591251</subfield><subfield code="x">25894536</subfield><subfield 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callnumber-first	R - Medicine
author	Sankar Ananthan Ravindran
spellingShingle	Sankar Ananthan Ravindran misc RE1-994 misc brunescent cataract misc hard cataract misc manual small-incision cataract surgery misc phacoemulsification misc Ophthalmology Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis
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topic_title	RE1-994 Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis brunescent cataract hard cataract manual small-incision cataract surgery phacoemulsification
topic	misc RE1-994 misc brunescent cataract misc hard cataract misc manual small-incision cataract surgery misc phacoemulsification misc Ophthalmology
topic_unstemmed	misc RE1-994 misc brunescent cataract misc hard cataract misc manual small-incision cataract surgery misc phacoemulsification misc Ophthalmology
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title	Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis
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title_full	Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis
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title_sort	phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: a retrospective analysis
callnumber	RE1-994
title_auth	Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis
abstract	Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes.
abstractGer	Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes.
abstract_unstemmed	Background: Brunescent cataracts are associated with higher incidence of ocular comorbidities which predispose to intraoperative and postoperative complications. Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes.
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title_short	Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis
url	https://doi.org/10.4103/tjosr.tjosr_108_19 https://doaj.org/article/d9623ebfb1314cd2bc4808f986a9c262 http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2020;volume=58;issue=2;spage=74;epage=77;aulast=Ravindran https://doaj.org/toc/2589-4528 https://doaj.org/toc/2589-4536
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up_date	2024-07-03T14:04:19.408Z
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Objectives: To compare the surgical outcomes of Phacoemulsification (PE) and Manual Small Incision Cataract Surgery (MSICS) in Brunescent cataracts. Patients and Methods: Retrospective observational study of patients who underwent either MSICS or phacoemulsification for brunescent cataracts over a 1-year period were reviewed for complication rates and visual outcomes. Multiple logistic regression analysis using Stata software (version 11.0, Stata Corp LP) performed to find factors associated with surgical complications. P < 0.05 considered statistically significant. Results: A total of 959 eyes of 950 cases with brunescent cataract were reviewed of which 654 underwent MSICS and 305 underwent PE. A total of 53 intraoperative complications were encountered in both groups. PE group had 14 (2.95%) with the commonest being PCR in 9 cases. In the SICS group, 39 complications (5.96%) were noted with PCR in 16 followed by ZD in 12. Postoperative complications were noted in both groups with higher incidence of corneal edema in the PE group. Statistically significant difference in visual outcome was seen after 1 month with PE group (0.21±0.21) having better uncorrected visual acuity (P <0.001) compared to MSICS (0.44±0.26). Conclusions: For developing nations, where cost and training are the rate limiting factors and patients tend to present late with harder and complicated cataracts, MSICS is comparable to PE in terms of complication rates and visual outcomes.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">brunescent cataract</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">hard cataract</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">manual small-incision cataract surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">phacoemulsification</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Ophthalmology</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">P R Aswin</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Madhu Shekhar</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Janani Rajendran</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Siddharth Narendran</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ravilla D Ravindran</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">TNOA Journal of Ophthalmic Science and Research</subfield><subfield code="d">Wolters Kluwer Medknow Publications, 2020</subfield><subfield code="g">58(2020), 2, Seite 74-77</subfield><subfield code="w">(DE-627)1737591251</subfield><subfield code="x">25894536</subfield><subfield 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Phacoemulsification versus manual-small incision cataract surgery for brunescent cataracts: A retrospective analysis

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