Key result
Temporal incisions in manual small incision cataract surgery induced the least amount of astigmatism (mean 0.662 D) compared to superior frown (0.718 D, p=0.36), straight (0.8356 D, p=0.07), and smile incisions (0.8816 D, p=0.00) at 6 weeks.
Why the study?
Does temporal incision reduce surgically induced astigmatism compared to superior incisions in patients undergoing manual small incision cataract surgery?
Does temporal incision reduce surgically induced astigmatism compared to superior incisions in patients undergoing manual small incision cataract surgery?
Temporal and superior frown incisions induce less surgically induced astigmatism compared to superior straight or smile incisions in manual small incision cataract surgery.
May support temporal incisions to limit astigmatism in manual SICS; leaves open confirmation by RCTs before practice change.
AIM: To evaluate the surgically induced astigmatismwith different types of incisions in manual small incision cataract surgery over a period of one week, two weeks, four weeks and six weeks post-operative period. As the incision is the major cause for surgically induced astigmatism and this effect is directly related to the length, shape, location and depth of the incision. METHODS: Prospective analysis of the medical records of a total of 100 patients who underwent manual small incision cataract surgery with various types of incisions with SIA.
No takes yet. Share an insight, caveat, or question.
Reddy et al. (2015) studied Senile cataract (n=100). Temporal incision vs. Superior frown, straight, and smile incisions was evaluated on Mean surgically induced astigmatism (cylinder) at 6 weeks (p=0.36). Temporal incisions in manual small incision cataract surgery induced the least amount of astigmatism (mean 0.662 D) compared to superior frown (0.718 D, p=0.36), straight (0.8356 D, p=0.07), and smile incisions (0.8816 D, p=0.00) at 6 weeks.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: