Manual Small Incision Sutureless Cataract Surgery

Objective To compare the efficacy and surgical cost after cataract surgery by manual small incision sutureless cataract surgery(MSICS), conventional extracapsular cataract extraction(ECCE) and phacoemulsification(Phacoe). Methods 210 eyes of cataract were randomized to undergo MSICS, ECCE and Phacoe with non-foldable intraocular lens implanation. The visual acuity, surgically induced astigmatism, complications and the operative cost were recorded and compared after surgery. Results The postoperative visual acuity was checked one week after operation. For better uncorrected and spherical lens-corrected visual acuity (≥0.6), there was significant statistic difference between MSICS and ECCE group, but there was no significant difference between MSICS and Phacoe group. For poorer uncorrected and spherical lens-corrected visual acuity (≤0.3), there was no significant difference between these three group. The surgically induced astigmatism was calculated one week after surgery. There was significant statistic difference between MSICS and ECCE group, but there was no significant difference between MSICS and Phacoe group. During surgery, posterior capsuler ruptured and vitreous came out in 4 eyes (5.71%) inMSICS group, 3 eyes (4.29%) in ECCE group and 3 eyes (4.29%) in Phacoe group. Moderate corneal edema happened in 5 eyes (7.14%) in MSICS group, 3 eyes (4.29%) in ECCE group and 5 eyes (7.14%) in Phacoe group. The operative cost of MSICS is similar to ECCE, but much less than Phacoe. Conclusion MSICS is effective and economical which is the most suitable for rural and basic hospital.