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A comparative study on oblique stab incision sics and phacoemulsification

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Original Article

Author Details : G Srinivasan, Sheetal*

Volume : 5, Issue : 4, Year : 2019

Article Page : 552-558

https://doi.org/10.18231/j.ijceo.2019.127

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Abstract

Aim: To study the effectiveness of oblique limbal stab incision in manual SICS in self-sealing, visual
outcome and degree of surgically induced astigmatism when compared to phacoemulsification surgery.
Surgical steps like superior rectus suture, conjunctival flap and cautery are eliminated in limbal stab incision
SICS.
Materials and Methods: A Study sample of 100 patients were included. The technique of limbal stab
incision SICS was carried out on one eye of 50 patients and was compared with 50 age and sex matched
patients undergoing phacoemulsification. A standard preoperative and post-operative care and medications
was given to both groups. The patients were subjected to preoperative evaluation such as visual acuity, slit
lamp examination, IOP recording, fundus, keratometry and biometry. Periodic follow up was done till 12
weeks postoperatively. Visual acuity by Snellen chart, keratometry to know amount of astigmatism at the
end of 12 weeks was compared in both the procedures.
Results: The post op visual acuity, SIA in both the groups were found to be equally comparable stating
that the modified SICS can be an alternative for phacoemulsification.
Conclusion: The modified version of SICS can achieve the following. It can be done less surgical duration.
It can be done under topical anaesthesia. Rigid IOL can be placed thereby making the procedure available
for patients not affordable for phacoemulsification. No suture is required thereby it causes less astigmatism.

Keywords: Oblique stab incision Small incision cataract surgery, Phacoemulsification, Modified SICS.

How to cite : Srinivasan G, Sheetal, A comparative study on oblique stab incision sics and phacoemulsification. Indian J Clin Exp Ophthalmol 2019;5(4):552-558

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