Resident Performed Sutureless Manual Small Incision Cataract Surgery (MSICS): Outcomes

Figures & data

Table 1 Demographics and Biometry of Study Patients

Demographics
Mean age (in years)	59.3 (±3.2)
Laterality	Right (52.8%), Left (47.19%)
Sex	Male (53%), Female (47%)
Mean IOL power (in diopters)	19.7±1.4
Anaesthesia*	Peribulbar

Note: *All 339 patients underwent cataract surgery under peribulbar anaesthesia.

Figure 1 (A) Construction of tunnel in superior quadrant. (B) Demonstrating Capsulorhexis by 26G bent cystitome. (C) Hydrodissection with balance salt solution under the anterior capsular rim. (D) Prolapse of nucleus into anterior chamber by sinskey hook. (E) Introduction of irrigating vector under the prolapsed nucleus in the anterior chamber. (F) Implantation of intraocular lens in capsular bag.

Figure 2 Showing focal corneal edema along paracentral central area POD1.

Figure 3 (A) Bar chart showing different grades of nuclear cataract operated. (B) Bar chart demonstrating various adverse events during interoperated period experienced by resident surgeon.

Table 2 Postoperative (POD1) Adverse Events Recorded

Postoperative Complications^$	Number	Percentage*
Transient Corneal Edema	19	5.6%
Shallow anterior chamber	11	3.2%
Updrawn Pupil	4	1.17%
Residual Cortex:	4	1.17%
Residual Vitreous:	2	0.58%
Hyphaema	3	1.17%

Notes: *Percentage calculated: number of cases/total number of cases × 100. ^$Postoperative adverse events meticulously recorded.

Table 3 List of Cases Taken Up for Resurgery

Resurgery^$	Number of Cases	Percentage*
Resuturing of surgical wound	2	0.58%
Iris release from tunnel	2	0.58%
Cortical cleaning	4	1.17%
Anterior vitrectomy	2	0.58%

Notes: *Percentage calculated: number of cases/total number of cases *100. ^$List of cases underwent resurgery on POD1 after slit-lamp evaluation.

Table 4 Table Showing Preoperative, Postoperative Uncorrected (UCVA) and Postoperative Best Corrected (BCVA) Visual Acuity Interpretation in Logmar Units, Snellen Visual Acuity Chart (20 Feet) and Snellen Visual Acuity Chart (6 Meters)

Visual Acuity^$	Mean Preoperative Visual Acuity	Mean Postoperative Uncorrected Visual Acuity (UCVA)	Mean Postoperative Best Corrected Visual Acuity (BCVA)	p-value^#
Logmar units	1.3±0.4	0.4±0.3	0.2±0.1	NA*
Snellen Chart^& (20 feet)	20/400	20/50	20/32	<0.001
Snellen Chart^ (6 meters)	6/120	6/15	6/9.5	<0.0001

Notes: ^#p-value <0.005 is considered statistically significant, ^$visual acuity of all 339 patients inducted into the study. ^&Snellen visual acuity chart assessed at 20 feet. ^Snellen visual acuity chart at 6 meters.

Abbreviation: NA, not applicable.

Figure 4 (A) Line graph illustrating preoperative visual acuity of all 339 study patients. (B) Comparative Line chart exhibiting postoperative uncorrected visual acuity (UCVA) in logmar units and postoperative best corrected visual acuity in logmar units recorded in all 339 study patients.