Cataract till today remains the most common yet treatable cause of blindness accounting for more than 50% of blindness and visual impairment in the developing world. The goals for cataract surgery today regardless of type are rapid patient mobilization and comfort, early visual rehabilitation, minimal induced astigmatism and risk benefit ratio shift in patients favor counter balancing the surgeon's ego and faith in one particular technique only. The study was conducted on patients from opd of KMCRI Medical College and Hospital Bharuch for 18 months. The sample size taken for this study was 50 patients, who underwent phacoemulsification surgery of 2.8 mm supero temporal clear corneal incision. Informed consent was obtained from each participants before including in the study. The data collection was done using a proforma. Pre-operatively 12% patients were noted to have no astigmatism, whereas post-operatively after 6 months, 48% patients were noted to have no astigmatism. Preoperatively maximum number of patients (86.0%) had WTR astigmatism whereas postoperatively (52.0%) of patients had WTR astigmatism at 6 months. p-value showed significance (p<0.0001). Pre-operatively maximum patients (66.0%) were in the range of 0.25D-0.50D, whereas post-operatively at 1, 3 and 6 months, maximum patients (54.0%) difference in keratometric dioptric power was <0.25D. In supero temporal clear corneal incision of 2.8 mm there was decrease in both horizontal and vertical meridians postoperatively after 6 months. WTR astigmatism was found in higher number of cases, 6 months postoperatively.
Shweta Kosamia. Determining the Type of Astigmatism in Phacoemulsification Surgery with 2.8 mm Supero-Temporal Clear Corneal Incision.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.1105.1109
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.1105.1109