Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes

Praveen Subudhi,1 Sweta Patro,1 B Nageswar Rao Subudhi,1,2 Silla Sitaram,1 Zahiruddin Khan,2 Chandan Mekap1 1Cataract Department, Ruby Eye Hospital, Berhampur, Ganjam, Odisha, India; 2Ophthalmology Department, Hitech Medical College, Bhubaneswar, IndiaCorrespondence: Praveen SubudhiRuby Eye Hospital...

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Autores principales:	Subudhi P, Patro S, Subudhi BNR, Sitaram S, Khan Z, Mekap C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	msics resident training wound construction Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7fcc556c8fa54ac9a0f40f2dacfd4ef0
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spelling	oai:doaj.org-article:7fcc556c8fa54ac9a0f40f2dacfd4ef02021-12-02T18:31:08ZResident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes1177-5483https://doaj.org/article/7fcc556c8fa54ac9a0f40f2dacfd4ef02021-04-01T00:00:00Zhttps://www.dovepress.com/resident-performed-sutureless-manual-small-incision-cataract-surgery-m-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Praveen Subudhi,1 Sweta Patro,1 B Nageswar Rao Subudhi,1,2 Silla Sitaram,1 Zahiruddin Khan,2 Chandan Mekap1 1Cataract Department, Ruby Eye Hospital, Berhampur, Ganjam, Odisha, India; 2Ophthalmology Department, Hitech Medical College, Bhubaneswar, IndiaCorrespondence: Praveen SubudhiRuby Eye Hospital, Govinda Vihar, Sushruta Nagar, Berhampur, Ganjam, Odisha, 760001, IndiaEmail subudhipraveen@gmail.comPurpose: To show the surgical and visual outcomes of a resident-performed manual small incision cataract surgery.Study Type: Retrospective observational case series.Study Setting: Ruby Eye Hospital.Materials and Methods: Manual small incision cataract surgery was performed on 339 uncomplicated cataract cases by three in-house residents. Preoperative visual acuity and vision with a pinhole were meticulously noted in the record sheets. All patients underwent thorough preoperative evaluation with the help of a slit lamp. Eyes with corneal guttae, un-dilated pupils, pseudo-exfoliation, raised intraocular pressure and posterior segment abnormalities were excluded from the study. The mean patient age was 59 years (min: 47 years and max: 85 years). Forty-seven percent were males, and the rest were females. The mean uncorrected preoperative visual acuity recorded was 1.3 logMAR units (max: 1 and min: 1.6, Std dev: 0.4). Forty-two percent of the eyes had dense nuclear cataracts (≥ Nuclear Sclerosis grade III from LOCS II).Results: The mean postoperative visual acuity recorded was 0.4 logMAR units [standard deviation 0.3 logMAR units (max: 1 and min: 0.1 p-value < 0.001)]. Forty-three cases (12.6%) had tunnel-related complications (premature entry/button hole). Thirty-six cases (10.6%) had iatrogenic prolapse of the iris tissue. Eight cases (2.3%) had a runaway capsulorhexis, while 18 cases (5.3%) had iatrogenic posterior capsular rupture. Two cases (0.58%) had a large zonular dialysis. Ten cases (2.9%) were retaken to the operating room again for repeat intervention.Conclusion: The ophthalmic resident learning curve for manual small incision cataract surgery is steep, unlike what is reported in the literature. A good training program with a special emphasis on wound construction is of paramount importance for future residents.Keywords: MSICS, resident training, wound constructionSubudhi PPatro SSubudhi BNRSitaram SKhan ZMekap CDove Medical Pressarticlemsicsresident trainingwound constructionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1667-1676 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	msics resident training wound construction Ophthalmology RE1-994
spellingShingle	msics resident training wound construction Ophthalmology RE1-994 Subudhi P Patro S Subudhi BNR Sitaram S Khan Z Mekap C Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes
description	Praveen Subudhi,1 Sweta Patro,1 B Nageswar Rao Subudhi,1,2 Silla Sitaram,1 Zahiruddin Khan,2 Chandan Mekap1 1Cataract Department, Ruby Eye Hospital, Berhampur, Ganjam, Odisha, India; 2Ophthalmology Department, Hitech Medical College, Bhubaneswar, IndiaCorrespondence: Praveen SubudhiRuby Eye Hospital, Govinda Vihar, Sushruta Nagar, Berhampur, Ganjam, Odisha, 760001, IndiaEmail subudhipraveen@gmail.comPurpose: To show the surgical and visual outcomes of a resident-performed manual small incision cataract surgery.Study Type: Retrospective observational case series.Study Setting: Ruby Eye Hospital.Materials and Methods: Manual small incision cataract surgery was performed on 339 uncomplicated cataract cases by three in-house residents. Preoperative visual acuity and vision with a pinhole were meticulously noted in the record sheets. All patients underwent thorough preoperative evaluation with the help of a slit lamp. Eyes with corneal guttae, un-dilated pupils, pseudo-exfoliation, raised intraocular pressure and posterior segment abnormalities were excluded from the study. The mean patient age was 59 years (min: 47 years and max: 85 years). Forty-seven percent were males, and the rest were females. The mean uncorrected preoperative visual acuity recorded was 1.3 logMAR units (max: 1 and min: 1.6, Std dev: 0.4). Forty-two percent of the eyes had dense nuclear cataracts (≥ Nuclear Sclerosis grade III from LOCS II).Results: The mean postoperative visual acuity recorded was 0.4 logMAR units [standard deviation 0.3 logMAR units (max: 1 and min: 0.1 p-value < 0.001)]. Forty-three cases (12.6%) had tunnel-related complications (premature entry/button hole). Thirty-six cases (10.6%) had iatrogenic prolapse of the iris tissue. Eight cases (2.3%) had a runaway capsulorhexis, while 18 cases (5.3%) had iatrogenic posterior capsular rupture. Two cases (0.58%) had a large zonular dialysis. Ten cases (2.9%) were retaken to the operating room again for repeat intervention.Conclusion: The ophthalmic resident learning curve for manual small incision cataract surgery is steep, unlike what is reported in the literature. A good training program with a special emphasis on wound construction is of paramount importance for future residents.Keywords: MSICS, resident training, wound construction
format	article
author	Subudhi P Patro S Subudhi BNR Sitaram S Khan Z Mekap C
author_facet	Subudhi P Patro S Subudhi BNR Sitaram S Khan Z Mekap C
author_sort	Subudhi P
title	Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes
title_short	Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes
title_full	Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes
title_fullStr	Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes
title_full_unstemmed	Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes
title_sort	resident performed sutureless manual small incision cataract surgery (msics): outcomes
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/7fcc556c8fa54ac9a0f40f2dacfd4ef0
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Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes

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