biostudies-literatureUnknown2(5)Khanna RC<h4>Objective</h4>To compare the outcomes of manual small incision cataract surgery (MSICS) and phacoemulsification performed by ophthalmology trainees.<h4>Design</h4>Retrospective cohort design.<h4>Setting</h4>Tertiary eye care centre.<h4>Participants</h4>A total of 1029 subjects underwent cataract surgeries with MSICS technique or phacoemulsification by trainees during one quarter (July-September 2007). Only 484 (47%) subjects were males. Surgeries which were primarily large incision extracapsular or intracapsular cataract extraction and performed on patients less than 20 years of age were excluded.<h4>Outcome measures</h4>The postoperative best corrected visual acuity (BCVA) along with the rates and types of complications were compared between both the groups.<h4>Results</h4>A total of 1029 surgeries were performed by 22 resident surgeons. In all, 522 (50.7%) were done using MSICS technique and 507 (49.2%) were done by phacoemulsification. Those in the MSICS group were significantly older (age >70 years; 5.7% vs 3.4%; p<0.001) and had worse preoperative visual acuity (visual acuity <6/60; 69.3% vs 40.4%; p<0.001). Postoperatively, the number of patients having BCVA?6/12 was similar in both the groups (84.3% vs 88%; p=0.09). The complication rates were higher in MSICS group (15.1% vs 7.1%, p<0.001). Most common risk factor for poor outcome (postoperative BCVA<6/60) in both the groups was presence of associated ocular pathologies (OR 7.4 95% CI 3.4 to 16.4) and having a complications (OR 5.7 95% CI 3.0 to 10.8).<h4>Conclusions</h4>Although the complication rate was higher in the MSICS group, there was no difference in BCVA in both the groups.BMJ openhttps://www.ebi.ac.uk/biostudies/studies/S-EPMC3488747biostudies-literatureComparative outcomes of manual small incision cataract surgery and phacoemulsification performed by ophthalmology trainees in a tertiary eye care hospital in India: a retrospective cohort design.PMC3488747Palamaner Subash Shantha GKhanna RCSangwan VSKaza SfalseComparative outcomes of manual small incision cataract surgery and phacoemulsification performed by ophthalmology trainees in a tertiary eye care hospital in India: a retrospective cohort design.<h4>Objective</h4>To compare the outcomes of manual small incision cataract surgery (MSICS) and phacoemulsification performed by ophthalmology trainees.<h4>Design</h4>Retrospective cohort design.<h4>Setting</h4>Tertiary eye care centre.<h4>Participants</h4>A total of 1029 subjects underwent cataract surgeries with MSICS technique or phacoemulsification by trainees during one quarter (July-September 2007). Only 484 (47%) subjects were males. Surgeries which were primarily large incision extracapsular or intracapsular cataract extraction and performed on patients less than 20 years of age were excluded.<h4>Outcome measures</h4>The postoperative best corrected visual acuity (BCVA) along with the rates and types of complications were compared between both the groups.<h4>Results</h4>A total of 1029 surgeries were performed by 22 resident surgeons. In all, 522 (50.7%) were done using MSICS technique and 507 (49.2%) were done by phacoemulsification. Those in the MSICS group were significantly older (age >70 years; 5.7% vs 3.4%; p<0.001) and had worse preoperative visual acuity (visual acuity <6/60; 69.3% vs 40.4%; p<0.001). Postoperatively, the number of patients having BCVA?6/12 was similar in both the groups (84.3% vs 88%; p=0.09). The complication rates were higher in MSICS group (15.1% vs 7.1%, p<0.001). Most common risk factor for poor outcome (postoperative BCVA<6/60) in both the groups was presence of associated ocular pathologies (OR 7.4 95% CI 3.4 to 16.4) and having a complications (OR 5.7 95% CI 3.0 to 10.8).<h4>Conclusions</h4>Although the complication rate was higher in the MSICS group, there was no difference in BCVA in both the groups.2012-01-01T00:00:00Z20122021-03-13T08:04:42Z2019-03-27T00:59:55ZS-EPMC34887472305984610.1136/bmjopen-2012-001035