An overview of complications of MSICS

Introduction: Taking into consideration the wide spectrum of complications that follow MSICS and their influence on visual outcome, a sincere effort has been made in this study to critically analyze the incidence and the nature of various intraoperative, early and late post-operative complications among the total number of cataract extraction carried out. Materials and Methods: A Prospective observational study of 500 cases that had undergone MSICS after a thorough preoperative ocular evaluation including detailed history and clinical examination and these cases were studied for a period of 2 years and all the intraoperative, early and late post-operative complications were noted. Results: The commonest intraoperative complications were premature entry with iris prolapse (5%) followed by zonular dialysis (3%), commonest early post operative complications were SK (20%) and corneal edema (17%) and the commonest late post operative complications were PCO(18%) followed by astigmatism in 9% of the cases. Conclusion: SICS gives best corrected postoperative visual acuity of 6/6 or 6/9 in a greater proportion of patients and it has all the inherent advantages of the sutureless cataract surgery in terms of universal applicability, greater wound stability, lesser complications and early visual rehabilitation.