Initial experience of cataract surgery under surface anaesthesia

A prospective study was performed to see if the patients in our set up could safely and reliably be operated upon for cataract extraction under surface anaesthesia alone. This initial experience suggests that surface anaesthesia alone is suitable for carefully selected patients, while others tend to face undue anxiety, resulting in excessive ocular movements and eye lid squeezing during surgery

Combined extraction for co-existing cataract and glaucoma; separate incisions versus single incision approach

Background: This study was designed to evaluate the best method for the surgical treatment of co-existing cataract and glaucoma

Aim: The purpose of this study was to determine if there was any significant difference between the success rates of trabeculectomy when performed through either the same incision as for cataract extraction or when performed through a separate Incision

Method: Prospective study of twenty-four patients requiring cataract surgery with intra-ocular lens implantation, who also underwent the filtration surgery at the same time. Twelve patients out of these had their cataract surgery performed through a clear corneal incision, while the trabeculectomy was performed through a separate limbal incision. The other twelve patients were operated upon using only one incision at the superior limbus to perform the cataract surgery and the trabeculectomy

Results: The visual improvement was similar in both the groups but the success rate of trabeculectomy was better in the former group

Conclusion: A single incision approach for the combined extraction is acceptable, but using two separate incisions is a better option