DR. SANJAY KUMAR DAULAT THAKUR

DR. AVIK DEY SARKAR, DR. PRATIROOP GANGOPADHYAY

Abstract

Purpose: To assess the post-operative astigmatism in Small Incision Cataract Surgery (SICS) done by final year residents.

Methods: 212 eyes who were operated by Final year residents under supervision were included in the study. Keratometry and Refraction was done preoperatively and 6 weeks post SICS. Surgically Induced Astigmatism (SIA) was calculated using SIA calculator Version 1.1.

Results: Among 212 eyes, SIA was between 0.25-1 D in 110 eyes; 1.25-2 D in 51 eyes and between 2.25-3 D in 39 eyes. 9 eyes had a SIA >3 D. The Average SIA was 1.28±0.85 D. Overall, 205 eyes (96.7%) had a post-operative BCVA between 6/6-6/12. Intra-operative complications were seen in 19 eyes (8.96%). Posterior Capsular Rent was seen in 4 eyes (1.89%). Transient corneal edema (9.9%) was the most common post-operative complication.

Conclusion: This study indicates that SICS done by final year residents gives acceptable astigmatism with properly structured and monitored training.