Cirugía manual de catarata con incisión pequeña bajo anestesia tópica/intracameral por residentes

Abstract

ObjectiveEvaluating best corrected visual acuity, astigmatism induced by placing suture scleral in tunnel-corneal, intraoperative complications, postoperative immediate and delayed, of the manual small incision cataract surgery with topical and intracameral anesthesia by residents. Material and methodsStudy retrospective, cross-sectional, non-comparative, observational. Realized from March 2011 to February 2012, evaluating cataract cases black or white, operated by manual small incision cataract surgery technique with suture under topical anesthesia and intracameral, performed by a single surgeon third-year resident. ResultsWe included a total of 51 eyes with a mean follow up of 7.4 months. The intraoperative complications is 13.72%, 5.88% with posterior capsule ruptured. The best corrected visual acuity≥20/40 was 88.23%. The average induced surgical astigmatism was 0.70diopters, is≤80.39% to 0.50diopters. The 23.52% showed corneal stromal edema in the immediate postoperative period, posterior capsule opacity in the late postoperative 23.54%. ConclusionThe manual small incision cataract surgery topical/intracameral in black and white realized by residents provides visual results similar to those reported by phacoemulsification and manual small incision cataract surgery with various anesthetic techniques, without changing the rate of complications. The surgical astigmatism induced by placing sutures is similar to that reported when not used.