EVALUATION OF SMALL INCISION CATARACT SURGERY (SICS) IN PSEUDOEXFOLIATIVE EYES.

Abstract

Introduction: Pseudoexfoliation (PEX) has been a known challenge for cataract surgery due to small pupil size, phacodonesis, subluxation of lens, and changes in intraocular pressure. The aim of present study was to assess the role of SICS for management of cataract in Pseudoexfoliative eyes. Material And Methods: A hospital based prospective cross- sectional study was conducted on 54 pseudoexfoliative eyes undergoing Small Incision Cataract Surgery (SICS) in a tertiary care hospital with due approval of the Ethical committee. All enrolled patients underwent complete ophthalmic evaluation, dilated pupil size measurement, and documentation of events in cataract surgery in eyes posted for SICS. Result: Out of 54 patients 29 were male and 25 were females. Maximum pupil dilatation less than 4 mm was noted in 10 (18.50%) eyes. Nuclear cataract was the most common morphology in 34 (64.00%) patients. Pre operative IOP in PEX eyes varied from 11 mmHg to 32mmHg with preoperative mean IOP 19.81 + 5.58 mmHg. At one month, the mean IOP was 17.42+ 3.93 mmHg and the difference was statistically signicant with p-Value of 0.01. Preoperative subluxation less than 180 degrees was found in 6 (11%.00) while more than 180 degrees was noted in 3 (5.60%) eyes. Intraoperative Zonular Dehiscence (ZD) was noted in 4 (7.41%) more eyes adding to 10 (18.51%) eyes, while another 7 (12.96%) eyes had PCR. However, despite such presentations, we were able to implant a PCIOL in the bag or sulcus depending on the specic eye. Only 3 (5.56%) eyes which had a prior subluxation more than 180 degrees, were left aphakic and counselled for an IOL in another sitting. Conclusion: SICS has a relevant role in Pseudoexfoliative eyes with cataract. It is economical, feasible, and can be considered a safe technique especially among budding surgeons. With progress in technology in other methods of cataract surgery, SICS comes across as safe, and fair option