Dr.RUTA WALAVALKAR

Dr.Sachin Daigavane

Abstract

The ultimate goal of an eyesurgeon is to give his patient the best visual outcome. Ophthalmologists have experimented with various methods of Cataract Surgery to achieve this goal.

Purpose-To compare surgically induced astigmatism and visual outcome in SICS done through superiorly placed 5.5mm and 4.5mm scleral incision.

Methods-60 patients having immature senile cataract were selected. 30 of them underwent SICS with 5.5mm superior scleral incision while in the rest 4.5mm incision was used. After 4 weeks, astigmatism was calculated in all the patients along with visual outcome and compared.

Result- Surgically induced astigmatism was lesser in patients who underwent SICS with 4.5 mm scleral incision along with getting a better visual outcome as compared to the other group.

Conclusion-There is a definite relation between scleral incision size and the induced astigmatism following surgery and the surgeon can utilize this information to achieve a better visual prognosis.