Visual outcome in various Techniques of Nucleus Delivery in Manual small Incision Cataract Surgery

The main important goal of modern cataract surgery is early visual rehabilitation by giving near normal vision, minimal induced post-operative astigmatism, rapid mobilization and cost effectiveness, etc. In the advent of paucity of literature, not emerging surgical modern intervention, the health care specialists were drawn an erroneous decision to diagnose the cataract surgeries. Much research work will need to be focused on the surgical intervention and clinical decision about the exposed population. In this juxtapose, the present research paper aims to demonstrate the phacofracture nucleus delivery techniques/method on practical approach for handling the cataract at early stage. A prospective observational study was conducted at Department of Ophthalmology, PESIMSR, Kuppam during 2016–2019. A total of 400 consecutive cataract known patients were selected based on SOP. All cases were randomly chosen and they were undergone any one of the standard operating techniques of nucleus delivery of MSCIS (i) irrigating vectis (ii) phaco sandwich (iii) viscoexpression and (iv) phacofracture. An inclusion and exclusion criteria was employed to select the patients. Inclusion criteria: patients with acquired cataract with age 40 years and above. As per the resulted findings there is no statistical significant difference (p < 0.001) achieved in visual acuity at first operative day for all grades of cataract among the four study groups. By the 7th day, the visual acuity of 6/12 or shown better results (86%) in the phaco sandwich grouop, 79% in the vico expression group, 75% in the irrigating vectis group and 72% in the phacofracture group. After one month postoperative period of all four groups can yield better results, only less orientation results were seen in phacofracture group (p>0.01). In the management of senile immature cataracts viscoexpression gave the best results with more number of patients had good visual acuity. However visco expression is a safe and effective technique for soft cataracts.