Research Article
Volume 13 Issue 1 - 2022
Small Incision Cataract Surgery with Self-Sealing Corneal Tunnel: What Interest?
Atipo-Tsiba PW1,2* and Messe Ambia Koulimaya R2
1Faculty of Health Sciences, Marien Ngouabi University of Brazzaville, Congo
2Ophthalmology Department, University Hospital of Brazzaville, Congo
*Corresponding Author: Atipo-Tsiba PW, Associate Professor, Department of Ophthalmology, University Hospital of Brazzaville and Faculty of Health Sciences, Marien Ngouabi University of Brazzaville, Congo.
Received: January 03, 2022; Published: January 28, 2022




Abstract

Introduction: The choice of the surgical technique of cataract depends on the means, the patient and the abilities of the ophthalmologist. In our context of resource limited countries the Small Incision Cataract Surgery (SICS) is the rule and phacoemulsification an exception. The purpose of this survey was to compare two groups of patients operated with two different variants of SICS.

Methodology: Analytical cross-sectional study carried out in the Ophthalmology department of the Brazzaville University Hospital, between January and July 2019. Two groups (G1 and G2) of fourteen patients each suffering from cataracts had been operated. G1 and G2 were operated by the same surgeon, G1 with periorbulb anesthesia and self-sealing sclero-corneal tunnel, and G2 with topical anesthesia and self-sealing corneal tunnel. Two parameters had been compared: the existence of an orbital hematoma and the number of cotton stems used intraoperatively. The Student's test (t) with its confidence interval (95% CI) and the prevalence ratio (Rp) were used. The probability (p) was statistically significant for a value less than 0.05.

Results: Orbital hematoma 4G1 VS 0G2 (t = 2.1, 95% CI [2.4 - 8], Rp = 3.2, p < 0.05), Cotton stems 10G1 VS 3G2 (t = 3.2, 95% CI [3.8 - 7], Rp = 3.5, p < 0.05).

Conclusion: The variant with self-sealing corneal tunnel has three times less risk of bleeding. There is therefore less risk of contamination when the patient suffers from HIV infection or viral hepatitis.

Keywords: Cataract Surgery; SICS; Orbital Hematoma; Bleeding; HIV; Viral Hepatitis

References

  1. Ruit S., et al. “The role of small incision suture-less cataract surgery in the developed world”. Current Opinion in Ophthalmology1 (2018): 105-109.
  2. Nonon Saa KB., et al. “Manual small incision cataract surgery: Experience of a regional eye care service in Togo”. Journal Français D'Ophtalmologie3 (2018): 255-261.
  3. Gupta S., et al. “Residents' Learning Curve for Manual Small-Incision Cataract Surgery at Aravind Eye Hospital, India”. Ophthalmology11 (2018): 1692-1699.
  4. Lynds R., et al. “Supervised resident manual small-incision cataract surgery outcomes at large urban United States residency training program”. Journal of Cataract and Refractive Surgery1 (2018): 34-38.
  5. Singh K., et al. “Review of manual small-incision cataract surgery”. Indian Journal of Ophthalmology12 (2017): 1281-1288.
  6. Bhikoo R., et al. “Small incision cataract surgery provided by a regional population in the Pacific: a 12-month follow-up”. Clinical and Experimental Ophthalmology5 (2018): 553-554.
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  9. Ruit S., et al. “A prospective randomized clinical trial of phacoemulsification vs manual sutureless small-incision extracapsular cataract surgery in Nepal”. American Journal of Ophthalmology 143 (2007): 32-38.
Citation: Atipo-Tsiba PW and Messe Ambia Koulimaya R. “Small Incision Cataract Surgery with Self-Sealing Corneal Tunnel: What Interest?”. EC Ophthalmology 13.2 (2022): 28-31.

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