Abstract
Purpose: The main purpose of this study was to compare the macular thickness after uncomplicated Phacoemulsification versus manual SICS in known diabetic patient by OCT.
 Methods: This study was prospective observational study involving 50 eyes of 50 patients with each arm having 25 patients. Group 1 was operated with Phacoemulsification with foldable IOL through 2.2 mm incision & group 2 were operated with manual SICS through 5.5 to 6.5 mm incision with PMMA IOL implantation. Macular OCT was performed in all patients during preoperative period & day 7 post op, 1st month, 3rd month & 6th month. The data were analyzed by using SPSS software (version22.0 SPSS Inc).
 Results: The MCFT rose steadily in both group during post operative period with higher rise noted in SICS group throughout follow up. Significant difference in MCFT between Phaco & SICS group were noted with highest MCFT noted in 1st month follow up in both groups i.e. 231.6 micro m (SD+7.831) in Phaco group & 241.08 (SD+7.35) in SICS group. The MCFT returned to near pre OP value by 6th month.
 Conclusion: 1 Age & Sex has no effect on macular thickness before and after any type of Cataract surgery be it Phaco or SICS.
 2 Significant higher macular thickness was observed in SICS group so caution should be taken in SICS patients.
 Keywords: Phacoemulsification, small incision cataract surgery (SICS), Cystoid macular edema
Highlights
In skilled hands occurrence of Angiographic cystoids macular edema (CME) is approximately up to 20 - 30 % after convential extra-Cataract is the most common form of ocular surgery
1 Age & Sex has no effect on macular thickness before and after any type of Cataract surgery be it Phaco or
2 Significant higher macular thickness was observed in small incision cataract surgery (SICS) group so caution should be taken in SICS patients
Summary
In skilled hands occurrence of Angiographic CME is approximately up to 20 - 30 % after convential extra-Cataract is the most common form of ocular surgery. In skilled hands occurrence of Angiographic CME is approximately up to 20 - 30 % after convential extra-. Capsular cataract surgery (ECCE), 19 % after its true long term effects on retinal functions are not yet fully understood. These retinal changes may be the result. Phacoemulsification but angiographic CME does not necessarily reduce the visual acuity. 1 Studies have of remaining subclinical inflammation or may indicate poor recovery of eyes with aging retinal reported that the occurrence of CME varies between 1.5 to 2.3 % for Phaco.[2] There are many recognized and vasculature.
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