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Gonioscopic changes in conventional ECCE vs manual SICS: A comparative study


Int J Med Res Health Sci. |

Authors: Surya Joseph, Sundararajan D, Rajvin Samuel Ponraj, Srinivasan M, Veluchamy
Int J Med Res Health Sci. 2014;3(2):237-240  DOI: 10.5958/j.2319-5886.3.2.052


The aim of the study is to observe and compare the Gonioscopic changes in the angle of the anterior chamber of the eye after surgeries namely; Conventional Extra capsular cataract extraction (ECCE) with Posterior chamber  Intraocular lens (PC IOL) implantation, Manual Small incision Cataract Surgery with PCIOL implantation. The clinical study was undertaken after Institutional Ethical committee clearance, securing the inform consent, total number of 100 patients were enrolled in the study. 50 ECCE; 50 SICS consisting of 57 Males and 43 Females aged between 40 – 80yrs who were admitted and operated for Cataract at Meenakshi Medical college Hospital & Research institute. The following parameters are studied: Gonioscopic changes in the angle, namely  the PAS formation in the quadrants, pigment dispersion in each of the methods. After this study, we arrive to a conclusion that complications in the angle of anterior chamber occur mostly in Conventional with insignificant  change in manual SICS. So manual Small incision Cataract Surgery with PCIOL implantation is preferable over Conventional ECCE with PCIOL implantation.

 Keywords:  Gonioscopy, Peripheral anterior synechiae, Scheie’s classification, Pigment dispersion, Malpositioning of the Superior Haptics

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