COMPARISON OF VISION OUTCOMES BETWEEN SICS (SMALL-INCISION CATARACT SURGERY) AND PHACOEMULSIFICATION IN CATARACT SURGERY
DOI:
https://doi.org/10.22159/ajpcr.2020.v13i12.39552Keywords:
Cataract, Small incisional cataract surgery, Phacoemulsification, National eye institute visual function questionnaire, Vision-related quality of life, Medication adherence, Patient counselingAbstract
Objectives: The main objective of the study is to compare the vision outcomes between small-incision cataract surgery (SICS) and phacoemulsification (PHACO) procedures, to compare the quality of life (QOL) before surgery and after surgery, to improve the patient’s knowledge of their disease condition, and to increase medication adherence after the surgery.
Methods: A prospective observational study was conducted for 6 months. About 100 patients were enrolled in the study according to the study criteria. Different scales ([visual function questionnaire] VFQ 25, QOL scale [QOLS] by Schalock and Keith, Morisky Adherence Scale -8 items) were scored from the patient’s profile and treatment chart by communicating with physicians, counseling the patients.
Results: One hundred patients were assessed before and after cataract surgery and follow-up was made for 1 month. Overall, vision-related QOL was significantly improved in PHACO than SICS patients. National Eye Institute VFQ 25 was assessed on day 7 and day 30 where we have observed a statistically significant improvement in the PHACO group of patients than in SICS. Their medication adherence scores were categorized into a high, medium, low category, and most of the SICS patients remained in the medium category, whereas the number of patients increased from medium to high category in PHACO patients.
Conclusion: We concluded that PHACO is better than small incisional cataract surgery due to its small and self-sealing incision, which requires no stitches in most cases, with minimum complications the patient heals faster and recovers rapidly.
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Deka M, Ahmed AB, Chakraborty J. Development, evaluation and characteristics of ophthalmic in situ gel system: A review. Int J Curr Pharm Res 2019;11:47-53.
Sreeja S, Jeyanthi GP, Devi SG. Status of enzymatic antioxidants in eye lens extracted from cataractous subjects. Int J Pharm Pharm Sci 2015;7:139-42.
Aarthi R, Roy G, Kar SS, Srinivasan R. Prevalence of cataract among adults above 50 years in a rural community of Villupuram, Tamil Nadu. Int J Adv Med Health Res 2015;2:50-4.
Alshamrani A. Cataracts pathophysiology and managements. Egyp J Hosp Med 2018;70:151-4.
Waugh A, Grant A. Ross and Wilson Anatomy and Physiology in Health and Illness. Vol. 11. Edinburgh: Elsevier Health Sciences; 2018. p. 376-92.
Khurana AK. Comprehensive Ophthalmology. Vol. 4. Tamil Nadu: New Age International Private Limited; 2007. p. 194-215.
Hussen MS, Gebreselassie KL, Seid MA, Belete GT. Visual outcome of cataract surgery at Gondar university hospital tertiary eye care and training center, North West Ethiopia. Clin Optom 2017;9:19-23.
Enany HA. Phacoemulsification versus manual small incision cataract surgery in hard nuclear cataracts. Delta J Ophthalmol 2018;19:92-8.
Shrikant D, Aarti A, Prachi S, Yash G. Study of central corneal thickness (CCT) before and after small-incision cataract surgery (SICS) and phacoemulsification surgery. Niger J Ophthalmol 2018;26:35-9.
El-Sayed SH, El-Sobky HM, Badawy NM, El-Shafy EA. Phacoemulsification versus manual small incision cataract surgery for treatment of cataract. Menoufia Med J Ophthalmol 2015;28:191-96.
Singh SK, Winter I, Surin L. Phacoemulsification versus small incision cataract surgery (SICS): Which one is a better surgical option for immature cataract in developing countries? Nepal J Ophthalmol 2009;1:95-100.
Thylefors B, Chylack LT Jr., Konyama K, Sasaki K, Sperduto R, Taylor HR, et al. A simplified cataract grading system. Ophthalmic Epidemiol 2002;9:83-95.
To KG, Meuleners LB, Fraser ML, Do DV, Van Duong D, Huynh VA, et al. The impact of cataract surgery on vision-related quality of life for bilateral cataract patients in Ho Chi Minh city, Vietnam: A prospective study. Health Quality Life Outcomes 2014;12:16.
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