A Descriptive Study of Intraoperative Complications in Manual Small Incision Cataract Surgery

Background:In India and other developing countries, senile cataract is the most common cause of reversible blindness. In developed countries, phacoemulsification is a preferred option. It is an expensive procedure which requires high surgical training. Manual small incision cataract surgery (MSICS) is a safe and affordable technique. It involves lesser surgical time and the instrumentation is easier to maintain. This study is undertaken to know the intraoperative complications involved in this technique and the management of these complications. Methodology: Atotal of 50 cases were studied from October 2020-January 2021. It is a hospital based, descriptive cross-sectional study. Results:Intraoperative complications occurred in 10 cases (20%). It included iris prolapse in 3 cases (6%), tunnel related complications in 3 cases which included premature entry in 2 cases (4%) and button holing in 1 case (2%), Descemet membrane detachment in 1 case (2%), intraoperative miosis in 1 case (2%), intraoperative hyphema in 1 case (2%), capsule related complications in 1 case (2%) and PC rent in one case (2%).Conclusion:Manual small incision cataract surgery is well suited in our country, where there is backlog of cataract cases. It is an effective, affordable technique which involves lesser surgical time.