Shaban Khan, Afzal Khan, Abdul Qayyum, Shamas Ullah Bazi, Abdul Bari, Iftikhar-ul Haq.
A Comparative study of Conventional Extracapsular Cataract Extraction (ECCE) V/S Manual Small Incision Cataract Surgery (MSICS).
Ophthalmol Update Jan ;14(2):56-9.

Objective: The purpose of study is to compare visual outcome in cataract surgery by conventional extra capsular cataract extraction (ECCE) and manual small incision cataract surgery method(MSICS). Material & Methods: This study was carried out in ophthalmology department Bolan Medical College /Helper Eye Hospital Quetta. A total 100 number of patients were enrolled from outpatient department (OPD) from August 15th to February 15th 2014. The patients were divided in to two groups. Group one included fifty patients, operated by conventional extra capsular cataract extraction (ECCE) and in group two fifty patients were operated by manual small incision cataract surgery (MSICS). Results: Patients on first post-operative day showed visual outcome 17(34%) by conventional extra capsular cataract extraction (ECCE) and 33(66%) by manual small incision cataract surgical (MSICS) technique, patients showed corneal edema which was relived quickly giving additional treatment.(acetazolamide and topical hypertonic solution). On the first week follow-up visit 50% patients showed improvement of visual acuity by conventional extra capsular cataract extraction (ECCE) method while 80% by manual small incision cataract surgical technique. The 3rd week follow-up visit the visual acuity improved 70% in the first group of patients and 90% in the second group which indicates the fast rehabilitation by using manual small incision technique. In 8th week follow-up visit our patients showed 84% and 94% visual outcome respectively.

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