Clinical Science
A comparison of vision outcome and safety between small incision non-phacoemulsification and phacoemulsification surgery for cataract in Tibet
Tseten yangkyi, Liu Ping, Gesang yangzong, Thubten choepeil, Zhazong
Published 2019-04-10
Cite as Chin J Exp Ophthalmol, 2019, 37(4): 297-300. DOI: 10.3760/cma.j.issn.2095-0160.2019.04.012
Abstract
ObjectiveTo compare and analyze the visual outcome and safety of phacoemulsification with small incision non-phacoemulsification for cataract and provide a reference for the selection of surgery methods in Tibet.
MethodsA prospective cohort study was performed.Eighty eyes of 80 consecutive patients with age-related cataract were included in Titet Autonomous Region Tibetan Tradition Medicine Hospital from July to August 2016.The eyes were assigned to non-phacoemulsification extracapsular cataract extraction with small incision combined with intraocular lens (IOL) implantation group (small incision group) and phacoemulsification extracapsular cataract extraction combined with IOL implantation group (phacoemulsification group), with 40 eyes for each group.The uncorrected visual outcome and complications were compared between the two groups after surgery.
ResultsThere were no significant differences in gender, age, preoperative visual acuity, and lens nuclear hardness between the two groups (all at P>0.05). The eyes in various post-operative uncorrected visual acuity outcome was not significantly different 1 day and 5 days after surgery between the two groups (both atP>0.05). In the fifth day after surgery, the eye number in various post-operative uncorrected visual acuity outcome was not significantly different in the eyes with grade Ⅱ and Ⅲ nuclei between the two groups (Z=0.503, P=0.478; Z=0.952, P=0.329). The eye number of acuity ≥0.5 in the small incision group was significantly more than that in the phacoemulsification group in the eyes with grade Ⅳ nuclei (Z=4.501, P=0.034). The eye number with post-operative transiently ocular hypertension was increased in small incision group compared with phacoemulsification group.
ConclusionsNon-phacoemulsification surgery with small incision has comparable visual outcome with phacoemulsification surgery, and small incision non-phacoemulsification surgery combined with IOL implantation can serve as the preferred surgical method in basic level medical institutions of Tibet.
Key words:
Cataract/surgery; Small incision extracapsular cataract extraction; Phacoemulsification; Tibet; Comparative study
Contributor Information
Tseten yangkyi
Titet Autonomous Region Tibetan Traditional Medicine Hospital, Lasa 850000, China
Liu Ping
Harbin Medical University, Harbin 150081, China
Gesang yangzong
Titet Autonomous Region Tibetan Traditional Medicine Hospital, Lasa 850000, China
Thubten choepeil
Titet Autonomous Region Tibetan Traditional Medicine Hospital, Lasa 850000, China
Zhazong
Titet Autonomous Region Tibetan Traditional Medicine Hospital, Lasa 850000, China
