Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South India

Purpose: To study the incidence of re-surgery after manual small-incision cataract surgery (MSICS) at a tertiary eye-care center in South India and to compare the re-surgery rate between trainees and experts. Methods: A retrospective study was conducted at a tertiary eye-care center in Andhra Prades...

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Main Authors: Prerana A Shetty, Sushank A Bhalerao, Sowjanya Vuyyuru, Uma Y Thigale, Devara Satyanarayana, Rajavardhan Mallipudi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=3989;epage=3994;aulast=Shetty
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author Prerana A Shetty
Sushank A Bhalerao
Sowjanya Vuyyuru
Uma Y Thigale
Devara Satyanarayana
Rajavardhan Mallipudi
author_facet Prerana A Shetty
Sushank A Bhalerao
Sowjanya Vuyyuru
Uma Y Thigale
Devara Satyanarayana
Rajavardhan Mallipudi
author_sort Prerana A Shetty
collection DOAJ
description Purpose: To study the incidence of re-surgery after manual small-incision cataract surgery (MSICS) at a tertiary eye-care center in South India and to compare the re-surgery rate between trainees and experts. Methods: A retrospective study was conducted at a tertiary eye-care center in Andhra Pradesh state of South India, which included 19,515 patients who underwent MSICS between 2012 and 2022 with 369 eyes of 369 patients who underwent re-surgery within 1 week of primary surgery. Factors included demographic data, type of re-surgery, that is, wound re-suturing, IOL repositioning, cortical wash, as well as anterior chamber (AC) wash. Results: 19,515 eyes from the year 2012–2022 were analyzed. Most of the patients undergoing re-surgery belonged to the age group of 61–70 years (40.3%). Wound re-suturing was the more frequently performed re-surgery (47.6%). Wound re-suturing rates were comparable between the trainees and experts, whereas IOL repositioning, cortical wash, and AC wash were higher in the cases performed by trainees though statistically not significant. Conclusion: Careful pre-operative assessment, training under supervision, and other measures can be taken to reduce the re-surgery rates. Timely diagnosis and early treatment can give better outcomes and prevent devastating complications like endophthalmitis.
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spelling doaj.art-5842fb42e6564d63930a2e971853972f2022-12-22T04:14:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-0170113989399410.4103/ijo.IJO_1612_22Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South IndiaPrerana A ShettySushank A BhaleraoSowjanya VuyyuruUma Y ThigaleDevara SatyanarayanaRajavardhan MallipudiPurpose: To study the incidence of re-surgery after manual small-incision cataract surgery (MSICS) at a tertiary eye-care center in South India and to compare the re-surgery rate between trainees and experts. Methods: A retrospective study was conducted at a tertiary eye-care center in Andhra Pradesh state of South India, which included 19,515 patients who underwent MSICS between 2012 and 2022 with 369 eyes of 369 patients who underwent re-surgery within 1 week of primary surgery. Factors included demographic data, type of re-surgery, that is, wound re-suturing, IOL repositioning, cortical wash, as well as anterior chamber (AC) wash. Results: 19,515 eyes from the year 2012–2022 were analyzed. Most of the patients undergoing re-surgery belonged to the age group of 61–70 years (40.3%). Wound re-suturing was the more frequently performed re-surgery (47.6%). Wound re-suturing rates were comparable between the trainees and experts, whereas IOL repositioning, cortical wash, and AC wash were higher in the cases performed by trainees though statistically not significant. Conclusion: Careful pre-operative assessment, training under supervision, and other measures can be taken to reduce the re-surgery rates. Timely diagnosis and early treatment can give better outcomes and prevent devastating complications like endophthalmitis.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=3989;epage=3994;aulast=Shettyac washcortical washiol repositioningmanual small-incision cataract surgery (msics)re-surgerywound re-suturing
spellingShingle Prerana A Shetty
Sushank A Bhalerao
Sowjanya Vuyyuru
Uma Y Thigale
Devara Satyanarayana
Rajavardhan Mallipudi
Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South India
Indian Journal of Ophthalmology
ac wash
cortical wash
iol repositioning
manual small-incision cataract surgery (msics)
re-surgery
wound re-suturing
title Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South India
title_full Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South India
title_fullStr Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South India
title_full_unstemmed Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South India
title_short Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South India
title_sort incidence of re surgery after manual small incision cataract surgery at a tertiary eye care center in south india
topic ac wash
cortical wash
iol repositioning
manual small-incision cataract surgery (msics)
re-surgery
wound re-suturing
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=3989;epage=3994;aulast=Shetty
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