International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 6, Issue 3 (2020)

Cataract operations in national institute of ophthalmology and hospital in Bangladesh: Comparison between manual small incision cataract surgery and phacoemulsification


Anawara Begum, Dr. Manjur Hossain

A cataract is a clouding of the lens in the eye which leads to a decrease in vision. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colors, blurry vision, halos around light, trouble with bright lights, and trouble seeing at night. This may result in trouble driving, reading, or recognizing faces. Poor vision caused by cataracts may also result in an increased risk of falling and depression. Cataracts are the cause of half of blindness and 33% of visual impairment worldwide. However the present study has conducted to compare outcomes of phacoemulsification [Phaco] with manual small incision cataract surgery (MSICS) for age-related cataract, to assess intraoperative and postoperative complications related to these 2 types of cataract surgery and to compare the financial cost between two types of cataract surgery. The study was conducted at National Institute of Ophthalmology and Hospital. The study was cross sectional type. Purposive sampling method was used for the study. Total 200 respondents were selected for the study. 100 respondents of Manual Small Incision Cataract Surgery were selected and 100 respondents of Phacoemulsification were selected. Data were collected from primary and secondary sources. Questionnaire was used for data collection. Data were collected by face to face interview with the respondent. Collected data were analyzed by using Computer Program Microsoft Excel. From the result it was found that cataract occurs illiterate, farmers and in aged person. The result revealed that in 90% respondents get 6/6 visual acuity in Phacoemulcification but 42% respondents get 6/6 visual acuity in MSICS in case of Phacoemulcification 5% respondents get 6/12 visual acuity but in case of MSICS 38% respondents get 6/12 visual acuity and 5% respondents get 6/18 visual acuity in case of Phacoemulcification and 20% respondents get 6/18 visual acuity in case of MSICS. In case of Intra-Operative Complications 95% respondents replied that no complication occur in Phacoemulcification but 70% respondents replied that no complication occur in MSICS, 2% respondents replied that Hyphema occur in Phacoemulcification but 12% respondents replied that Hyphema occur in MSICS, 2% respondents replied that Posterior lens capsule tear occur in Phacoemulcification but 12% respondents replied that Posterior lens capsule tear occur in MSICS and 1 % respondents replied that Vitrious loss occur in Phacoemulcification and 7% respondents replied that Vitrious loss occur in MSICS. In case of Post operative Complications 94% respondents replied that no complication occur in Phacoemulcification but 68% respondents replied that no complication occur in MSICS, 2% respondents replied that Corneal edema occur in Phacoemulcification but 17% respondents replied that Corneal edema occur in MSICS, 3% respondents replied that Hyphema in Phacoemulcification but 10% respondents replied that Hyphema occur in MSICS and 1 % respondents replied that Anterior uveitis in Phacoemulcification and 5% respondents replied that Anterior uveitis occur in MSICS. Phacoemulcification require less time than MSICs. After operation patients had stay more time in MSICs than Phacoemulcification. But cost is more in case of Phacoemulcification.
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How to cite this article:
Anawara Begum, Dr. Manjur Hossain. Cataract operations in national institute of ophthalmology and hospital in Bangladesh: Comparison between manual small incision cataract surgery and phacoemulsification. International Journal of Medical and Health Research, Volume 6, Issue 3, 2020, Pages 118-122
International Journal of Medical and Health Research