Learning curve of Indian standardized manual small-incision cataract surgery

• Main Authors: Ming Yin, Shuang Xu
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2017-06-01
• Series: Guoji Yanke Zazhi
• Subjects: manual small-incision cataract surgery; standardized training; learning curve
• Online Access: http://ies.ijo.cn/cn_publish/2017/6/201706040.pdf

AIM:To explore the learning curve of the Indian standardized manual small-incision cataract surgery(SICS). <p>METHODS:Totally 253 cases(295 eyes)of senile cataract were divided into three groups(Group A: training group, Group B and C: strengthened groups)according to the operation time from December 2012 to December 2014. All cases were performed with manual SICS by the same trainee ophthalmologist. To research the learning curve of manual SICS and evaluate surgical effects, the best corrected visual acuity and complications were observed. <p>RESULTS: At 1wk postoperatively, the rate of relief from blindness in all three groups after operation were 100%, the rate of relief from visual handicap in group A, B, C were 93.7%,93.0% and 91.0% respectively. Complication rates were 2.1%, 7.0% and 3.0% respectively in three groups. Posterior capsular rupture accounted for 50% of all complications. No severe postoperative complications were found, such as nucleus or IOL falling into vitreous cavity, endophthalmitis, corneal endothelial function dysfunction and expulsive choroidal hemorrhage. <p>CONCLUSION: Manual SICS is safe and effective. Because of helping to shorten the learning curve and decrease the incidence of complications, the standardized manual SICS training is worth using for reference.