Maya sharma, Seema Rajvanshi, Sunita Khurana
Purpose: At our district hospital (secondary level centre) cataract surgeries are being done free of cost under National Programme for Control of Blindness and Mukhyamantri Nishulk Dawa Yojna. Therefore we cater a large number of patients from our as well as neighbouring states. Most of them are of low socioeconomic status and uneducated. Due to limited resources and time constraints majority of surgeries are done as SICS whereas fewer as Phacoemulsification. Present study aims to compare the safety and efficacy profile of both the surgeries being done at our centre as each and every eye deserves the best possible treatment. Keywords: Cataract, NPCB, MNDY, SICS, Phacoemulsification Methods: We randomly selected 140 patients who were admitted for cataract surgery; after applying inclusion and exclusion criteria. Patients were equally divided and SICS was done for 70 and Phaco for other 70 patients. Both the groups were further divided into two equal groups SICS with rigid PMMA lens and SICS with Foldable lens; Phacoemulsification with rigid PMMA and the other with Foldable lens. All the patients were followed on 1st, 7th and 30th day post operatively. Result: In our study we observed that 68/70(97.14%) patients with SICS achieved 6/18 or better UCVA 30th day post op as compared to 57/70(81.42%) with Phacoemulsification. 2/70(2.85%) patients among SICS group had post op complication whereas 13/70(18.57%) patients among Phacoemulsification group had that. Conclusion: Our study was done at secondary referral centre (Govt. District hospital) where we deal with a large number of patients with limited available resources. In our set up we found SICS to be more time efficient with lesser and easily manageable complications.
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