الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 32 |  |  |
| | | from | 32 | | |
Abstract
Extra-capsular cataract extraction with posterior chamber intra-ocular lens implantation was the most frequent surgical technique until past decade.(2)
In the other hand, in manual small incision cataract surgery the use of smaller incision with the advantage of faster rehabilitation, less astigmatism and better postoperative vision without spectacles with the lack of resources made MSICS alternative to Extra-capsular cataract extraction in developing countries.(3)
So, this study aims at comparing safety and effectiveness of each technique in management of senile cataract.
This study reports the results of a comparative prospective case series study on 80 eyes of 80 patients, 40 patients of them underwent Extra-capsular cataract (PECCE) surgeries, 35 patients underwent Manual small incision Cataract surgery (MSICS) and 5 cases were shifted from MSICS to ECCE (SI-CE), at the Department of Ophthalmology, Sohag University Hospital, from October 2013 to October 2014.
The results report a difference between the MSICS group and PECCE group for the uncorrected post-operative visual acuity, 51.5% of the patients in MSICS group and none of the PECCE group had good visual outcome (6/18 or better), 8.5%of the patients in MSICS group and 50% of the patients in ECCE group had a poor visual outcome (less than 6/60) that shows a significant difference between the two groups, However this difference decrease after correction of the refraction as follow:
60% of the MSICS group and 20% of the PECCE group had a good visual outcome, and 8.6%ofthe MSICS group and 35% of the ECCE group had a poor visual outcome.
Mean surgically induced astigmatism of PECCE at 3month was 3.62 D Axis 72.However, Mean surgically induced astigmatism of MSICS at 3month was 0.35 D Axis 90.
In these study 14.2% surgeries in MSICS group, 15% surgeries of ECCE group hadintra-operative complications as iridodialysis, hyphema and posterior capsular rent with vitreous loss. 25% surgeries in MSICS group, 10% surgeries in PECCE group had post-operative complication as cornealedema, residualcortex, pupillary block glaucoma, decentered implant and posterior capsule opacification.
Conclusion
MSICS and ECCE are both safe and effective technique for treatment of cataract patient; MSICS need similar equipment to ECCE but give better un-corrected vision and less postoperative surgically induced astigmatism.