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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 9, Sept 2014 pp 544-547
Research Article
Nucleus division with McPherson forcep in Small Incision Cataract Surgery: A prospective study
Dole N B1, Mohite U S2
1,2Assistant Professor, Department of Ophthalmology, Government Medical College, Latur, Maharashtra, INDIA.
Abstract
Introduction: Cataract is the major cause of blindness (62.6%) in India. Small incision cataract surgery (SICS) is a popular technique in Indian scenario. There are various techniques of small incision cataract surgery. Various techniques are used to decrease the size of incision in cataract surgery. In our technique McPherson forcep is used to divide the nucleus in two pieces. Aim and objective: To study the outcome of nucleus management with McPherson forcep in SICS. Material and methods: 250 patients of various grades of cataract operated with McPherson forcep during study period from Jan 2007 to December 2008. Results were documented. In this technique nucleus is made to stand vertical/ oblique in anterior chamber (A/C). Then the forcep is introduced with blades on both the sides of the nucleus and the nucleus is divided in two pieces with horizontal force. Divided pieces are delivered separately with viscoexpression. Results: out of 250 patients operated 136 (54.4%) were male and 114(45.6%) were female.211 (84.4%) of patients were from 51-70 yrs of age. 175 (70%) of patients were with Grade II and III nuclear cataract. 179 (71.60%) of patients operated through 5-6mm incision. 43(17.20%) patients required 4-5mm incision. 28(11.20%) patients required >6mm incision. 1 (0.4%) patient had intraoperative zonulodialysis. 23 (9.2%) had minimal corneal edema (<10 descemet’s folds) and 3(1.2%) patients had grade 1 iritis . Conclusion: with this technique incision size can be reduced to less than 6 mm in most of the patients. This is a safe, simple and economical procedure.
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