Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial
Identifieur interne : 007363 ( Main/Merge ); précédent : 007362; suivant : 007364Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial
Auteurs : P M Gogate [Inde, Royaume-Uni] ; M. Deshpande [Inde] ; R P Wormald [Royaume-Uni] ; R. Deshpande [Inde] ; S R Kulkarni [Inde]Source :
- British Journal of Ophthalmology [ 0007-1161 ] ; 2003-06.
Abstract
Aim: To study “manual small incision cataract surgery (MSICS)” for the rehabilitation of cataract visually impaired and blind patients in community based, high volume, eye hospital setting; to compare the safety and effectiveness of MSICS with conventional extracapsular cataract surgery (ECCE). Methods: In a single masked randomised controlled clinical trial, 741 patients, aged 40–90 years, with operable cataract were randomly assigned to receive either MSICS or ECCE and operated upon by one of eight participating surgeons. Intraoperative and postoperative complications were graded and scored according to the Oxford Cataract Treatment and Evaluation Team recommendations. The patients were followed up at 1 week, 6 weeks, and 1 year after surgery and their visual acuity recorded. Results: This paper reports outcomes at 1 and 6 weeks. 706 of the 741(95.3%) patients completed the 6 week follow up. 135 of 362 (37.3%) of ECCE group and 165 of 344 (47.9%) of MSICS group had uncorrected visual acuity of 6/18 or better after 6 weeks of follow up. 314 of 362 (86.7%) of ECCE group and 309 of 344 (89.8%) of MSICS group had corrected postoperative vision of 6/18 or better. Four of 362 (1.1%) of ECCE group and six of 344 (1.7%) of MSICS group had corrected postoperative visual acuity less than 6/60. There were no significant differences between the two groups for intraoperative and severe postoperative complications. Conclusion: MSICS and ECCE are both safe and effective techniques for treatment of cataract patients in community eye care settings. MSICS needs similar equipment to ECCE, but gives better uncorrected vision.
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DOI: 10.1136/bjo.87.6.667
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial</title><author><name sortKey="Gogate, P M" sort="Gogate, P M" uniqKey="Gogate P" first="P M" last="Gogate">P M Gogate</name></author><author><name sortKey="Deshpande, M" sort="Deshpande, M" uniqKey="Deshpande M" first="M" last="Deshpande">M. Deshpande</name></author><author><name sortKey="Wormald, R P" sort="Wormald, R P" uniqKey="Wormald R" first="R P" last="Wormald">R P Wormald</name></author><author><name sortKey="Deshpande, R" sort="Deshpande, R" uniqKey="Deshpande R" first="R" last="Deshpande">R. Deshpande</name></author><author><name sortKey="Kulkarni, S R" sort="Kulkarni, S R" uniqKey="Kulkarni S" first="S R" last="Kulkarni">S R Kulkarni</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B9584C63C70DBD8E4E72777E91EEBCE6760CCBC1</idno><date when="2003" year="2003">2003</date><idno type="doi">10.1136/bjo.87.6.667</idno><idno type="url">https://api.istex.fr/document/B9584C63C70DBD8E4E72777E91EEBCE6760CCBC1/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">004128</idno><idno type="wicri:Area/Istex/Curation">004128</idno><idno type="wicri:Area/Istex/Checkpoint">002673</idno><idno type="wicri:doubleKey">0007-1161:2003:Gogate P:extracapsular:cataract:surgery</idno><idno type="wicri:Area/Main/Merge">007363</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial</title><author><name sortKey="Gogate, P M" sort="Gogate, P M" uniqKey="Gogate P" first="P M" last="Gogate">P M Gogate</name><affiliation wicri:level="1"><country xml:lang="fr">Inde</country><wicri:regionArea>HV Desai Eye Hospital, Pune</wicri:regionArea><wicri:noRegion>Pune</wicri:noRegion></affiliation><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>International Center for Eye Health, Institute of Ophthalmology (Associated with Moorfields Eye Hospital), London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Deshpande, M" sort="Deshpande, M" uniqKey="Deshpande M" first="M" last="Deshpande">M. Deshpande</name><affiliation wicri:level="1"><country xml:lang="fr">Inde</country><wicri:regionArea>HV Desai Eye Hospital, Pune</wicri:regionArea><wicri:noRegion>Pune</wicri:noRegion></affiliation></author><author><name sortKey="Wormald, R P" sort="Wormald, R P" uniqKey="Wormald R" first="R P" last="Wormald">R P Wormald</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>International Center for Eye Health, Institute of Ophthalmology (Associated with Moorfields Eye Hospital), London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Deshpande, R" sort="Deshpande, R" uniqKey="Deshpande R" first="R" last="Deshpande">R. Deshpande</name><affiliation wicri:level="1"><country xml:lang="fr">Inde</country><wicri:regionArea>HV Desai Eye Hospital, Pune</wicri:regionArea><wicri:noRegion>Pune</wicri:noRegion></affiliation></author><author><name sortKey="Kulkarni, S R" sort="Kulkarni, S R" uniqKey="Kulkarni S" first="S R" last="Kulkarni">S R Kulkarni</name><affiliation wicri:level="1"><country xml:lang="fr">Inde</country><wicri:regionArea>HV Desai Eye Hospital, Pune</wicri:regionArea><wicri:noRegion>Pune</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">British Journal of Ophthalmology</title><title level="j" type="abbrev">Br J Ophthalmol</title><idno type="ISSN">0007-1161</idno><idno type="eISSN">1468-2079</idno><imprint><publisher>BMJ Publishing Group Ltd.</publisher><pubPlace>BMA House, Tavistock Square, London, WC1H 9JR</pubPlace><date type="published" when="2003-06">2003-06</date><biblScope unit="volume">87</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="667">667</biblScope></imprint><idno type="ISSN">0007-1161</idno></series><idno type="istex">B9584C63C70DBD8E4E72777E91EEBCE6760CCBC1</idno><idno type="DOI">10.1136/bjo.87.6.667</idno><idno type="href">bjophthalmol-87-667.pdf</idno><idno type="PMID">12770957</idno><idno type="local">0870667</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-1161</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aim: To study “manual small incision cataract surgery (MSICS)” for the rehabilitation of cataract visually impaired and blind patients in community based, high volume, eye hospital setting; to compare the safety and effectiveness of MSICS with conventional extracapsular cataract surgery (ECCE). Methods: In a single masked randomised controlled clinical trial, 741 patients, aged 40–90 years, with operable cataract were randomly assigned to receive either MSICS or ECCE and operated upon by one of eight participating surgeons. Intraoperative and postoperative complications were graded and scored according to the Oxford Cataract Treatment and Evaluation Team recommendations. The patients were followed up at 1 week, 6 weeks, and 1 year after surgery and their visual acuity recorded. Results: This paper reports outcomes at 1 and 6 weeks. 706 of the 741(95.3%) patients completed the 6 week follow up. 135 of 362 (37.3%) of ECCE group and 165 of 344 (47.9%) of MSICS group had uncorrected visual acuity of 6/18 or better after 6 weeks of follow up. 314 of 362 (86.7%) of ECCE group and 309 of 344 (89.8%) of MSICS group had corrected postoperative vision of 6/18 or better. Four of 362 (1.1%) of ECCE group and six of 344 (1.7%) of MSICS group had corrected postoperative visual acuity less than 6/60. There were no significant differences between the two groups for intraoperative and severe postoperative complications. Conclusion: MSICS and ECCE are both safe and effective techniques for treatment of cataract patients in community eye care settings. MSICS needs similar equipment to ECCE, but gives better uncorrected vision.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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