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    Uncorrected visual acuity in the immediate postoperative period following uncomplicated cataract surgery: bimanual microincision cataract surgery versus standard coaxial phacoemulsification.

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    Authors
    Saeed, Ayman
    O'Connor, Jeremy
    Cunnife, Geraldine
    Stack, Jim
    Mullhern, Mark G
    Beatty, Stephen
    Affiliation
    Waterford Regional Hospital, Waterford, Ireland. aymantalat@gmail.com
    Issue Date
    2012-02-01T10:52:32Z
    MeSH
    Aged
    Aged, 80 and over
    Cataract Extraction/*methods
    Female
    Humans
    Male
    *Microsurgery
    Middle Aged
    Phacoemulsification/*methods
    Postoperative Period
    Prospective Studies
    Time Factors
    *Visual Acuity
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    Citation
    Int Ophthalmol. 2009 Oct;29(5):393-400. Epub 2008 Jul 23.
    Journal
    International ophthalmology
    URI
    http://hdl.handle.net/10147/207957
    DOI
    10.1007/s10792-008-9255-x
    PubMed ID
    18649045
    Abstract
    AIM: We compared bimanual microincision cataract surgery (MICS) and standard coaxial phacoemulsification (CAP) in terms of uncorrected visual acuity (UCVA) recorded 1 h and 2 weeks postoperatively. METHODS: This was a prospective, nonrandomised comparative study. All MICS procedures were performed by one surgeon (MGM), and all CAP procedures were performed by another surgeon (SB). Eyes with visually consequential ocular morbidity were excluded. The primary outcome measure was UCVA recorded 1 h postoperatively. RESULTS: One hundred eyes underwent MICS and CAP (50 eyes in each group). The treatment groups did not differ significantly in terms of preoperative mean best corrected visual acuity (6/24 +/- 4.3 lines and 6/20 +/- 4.4 lines in the MICS and the CAP groups, respectively; P = 0.65). Also, there was no significant difference in terms of postoperative UCVA at 1 h or at 2 weeks (mean +/- standard deviation UCVA 1 h postoperatively: MICS: 6/36 +/- 5.7 lines; CAP: 6/30 +/- 4.7 lines; P = 0.80; UCVA 2 weeks postoperatively: MICS: 6/10 +/- 1.9 lines; CAP: 6/10 +/- 2.2 lines; P = 0.90). However, nine eyes (18%) and one eye (2%) achieved a UCVA of C6/12 at 1 h following MICS and CAP, respectively, and this difference was statistically significant (P = 0.02). CONCLUSION: Mean UCVA at 1 h and at 2 weeks following cataract surgery was not significantly different between eyes undergoing MICS and CAP. However, a greater proportion of patients achieved a UCVA of C6/12 following MICS when compared with CAP.
    Language
    eng
    ISSN
    1573-2630 (Electronic)
    0165-5701 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1007/s10792-008-9255-x
    Scopus Count
    Collections
    University Hospital Waterford

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