Dr. Barkha Chaudhary, Dr. Charu Jain, Dr. KPS Malik
Abstract: Aim- To compare the endothelial cell count following Mini- Extracapsular cataract extraction versus Manual small incision cataract surgery. Material and Methods- In this prospective, randomized study, 60 patients with senile cataract presenting to Outpatient Department of Subharti Hospital, Meerut were divided into two groups of 30 each: group A patients underwent Mini-Extracapsular cataract extraction while group B patients underwent Manual small incision cataract surgery with Posterior chamber intraocular lens implantation (PCIOL). Patients were followed up at 1stweek, 1st, 2nd, 3rd month postoperatively. Endothelial cell count using specular microscope and BCVA were assessed on each follow up visit. Observation and Result- The difference in post-operative ECC and BCVA between Mini-ECCE and MSICS groups was not statistically significant (P value>0.05) at 3 month postoperatively. There was an endothelial cell loss of 7.5 % and 7.8 % in Mini-ECCE and MSICS groups, respectively. Conclusion- As both the groups showed comparable endothelial cell loss and BCVA in post-operative period. The present study concluded that the two techniques do not differ significantly in endothelial cell loss, best corrected visual acuity at three months, postoperatively.
Keywords: Mini-Extracapsular cataract extraction, Manual Small incision cataract surgery, Endothelial cell count, Visual acuity