Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients
Aim To describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection. Methods We reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens impl...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2015-01-01
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| Series: | Ophthalmology and Eye Diseases |
| Online Access: | https://doi.org/10.4137/OED.S31013 |
| _version_ | 1811314939308015616 |
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| author | Kagmeni Giles Christelle Domngang Georges Nguefack-Tsague Ebana Mvogo Come Peter Wiedemann |
| author_facet | Kagmeni Giles Christelle Domngang Georges Nguefack-Tsague Ebana Mvogo Come Peter Wiedemann |
| author_sort | Kagmeni Giles |
| collection | DOAJ |
| description | Aim To describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection. Methods We reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens implantation. Classic extracapsular cataract extraction (ECCE) was compared to mSICS. The number of potentially risky steps for contamination during surgery and duration of surgery were analyzed. A risky step was defined as any time when the surgeon had to use a sharp instrument. Student's paired t -test was carried out to compare continuous variables, and P -values <0.05 were considered statistically significant. Results Twenty patients were included in the study, 13 males (65%) and seven females (35%). The mean age was 46.3 ± 13.6 years (range 22–70 years). The number of potentially risky steps for contamination was significantly higher in the classical ECCE than in mSICS ( P < 0.001). The mean duration of cataract surgery with mSICS was significantly shorter as well ( P < 0.001). Conclusion Conversion to mSICS is essential in order to reduce accidental injuries during cataract surgery in sub-Saharan countries. Sharp instruments should be passed through a neutral zone to ensure that the surgeon and nurse do not touch the same instrument at the same time. |
| first_indexed | 2024-04-13T11:20:04Z |
| format | Article |
| id | doaj.art-a0b69617654e4c3a83ce142e9b4b2aee |
| institution | Directory Open Access Journal |
| issn | 1179-1721 |
| language | English |
| last_indexed | 2024-04-13T11:20:04Z |
| publishDate | 2015-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Ophthalmology and Eye Diseases |
| spelling | doaj.art-a0b69617654e4c3a83ce142e9b4b2aee2022-12-22T02:48:50ZengSAGE PublishingOphthalmology and Eye Diseases1179-17212015-01-01710.4137/OED.S31013Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV PatientsKagmeni Giles0Christelle Domngang1Georges Nguefack-Tsague2Ebana Mvogo Come3Peter Wiedemann4Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, CameroonUniversity of the Mountains, Bangangté, CameroonFaculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, CameroonFaculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, CameroonEye Hospital, Leipzig University, Leipzig, Germany.Aim To describe a surgical technique suitable for cataract surgery in regions with a high prevalence of HIV infection. Methods We reviewed the medical records of 20 consecutive AIDS patients with cataract who underwent modified small-incision cataract surgery (mSICS) with posterior chamber lens implantation. Classic extracapsular cataract extraction (ECCE) was compared to mSICS. The number of potentially risky steps for contamination during surgery and duration of surgery were analyzed. A risky step was defined as any time when the surgeon had to use a sharp instrument. Student's paired t -test was carried out to compare continuous variables, and P -values <0.05 were considered statistically significant. Results Twenty patients were included in the study, 13 males (65%) and seven females (35%). The mean age was 46.3 ± 13.6 years (range 22–70 years). The number of potentially risky steps for contamination was significantly higher in the classical ECCE than in mSICS ( P < 0.001). The mean duration of cataract surgery with mSICS was significantly shorter as well ( P < 0.001). Conclusion Conversion to mSICS is essential in order to reduce accidental injuries during cataract surgery in sub-Saharan countries. Sharp instruments should be passed through a neutral zone to ensure that the surgeon and nurse do not touch the same instrument at the same time.https://doi.org/10.4137/OED.S31013 |
| spellingShingle | Kagmeni Giles Christelle Domngang Georges Nguefack-Tsague Ebana Mvogo Come Peter Wiedemann Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients Ophthalmology and Eye Diseases |
| title | Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients |
| title_full | Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients |
| title_fullStr | Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients |
| title_full_unstemmed | Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients |
| title_short | Modified Small Incision Cataract Surgery and Intraocular Lens Implantation in HIV Patients |
| title_sort | modified small incision cataract surgery and intraocular lens implantation in hiv patients |
| url | https://doi.org/10.4137/OED.S31013 |
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