Comparison of cataract surgery techniques: safety, efficacy, and cost-effectiveness

European Journal of Ophthalmology
Jyoti JaggernathKovin Naidoo

Abstract

To compare the safety, efficacy, and cost-effectiveness of manual sutureless small-incision cataract surgery (SICS) and phacoemulsification (Phaco) as treatment options for cataract surgery with focus on intumescent, mature, and hypermature lenses (white cataracts). A systematic search of research articles was conducted to develop an internal database for the investigators' appraisal. Literature searches were conducted by using key words and MeSH terms including cataracts, phacoemulsification, small-incision cataract incision, visual acuity, costs, training, time, and barriers to cataract surgery. The final synthesis included 42 manuscripts. All studies show that both Phaco and SICS are safe and effective techniques to rehabilitate cataract patients, but Phaco is costlier, with its preoperative and postoperative medicines, anesthetic agents, viscoelastic materials, disposables, instrumentation, and intraocular lens (IOLs), and had a steeper learning curve. Small-incision cataract surgery, in comparison, has been shown to be faster and more cost-effective. It is useful in intumescent white, black, brown, and lens-induced glaucoma cataracts and could incorporate recent trends like topical and sub-Tenon anesthesia and temporal inc...Continue Reading

References

Oct 17, 1992·BMJ : British Medical Journal·A R Rosenthal
Jan 23, 1998·American Journal of Ophthalmology·N V PrajnaC Kupfer
Apr 8, 1998·Journal of Cataract and Refractive Surgery·A VasavadaJ Desai
Aug 18, 2000·Journal of Cataract and Refractive Surgery·I F HepşenY Totan
Apr 26, 2002·The British Journal of Ophthalmology·D YorstonA Foster
Jan 29, 2003·Journal of Cataract and Refractive Surgery·James Paul Guzek, Andrea Ching
Feb 25, 2003·The British Journal of Ophthalmology·A HennigA Foster
Dec 14, 2004·Ophthalmic Epidemiology·R MuralikrishnanKevin D Frick
Feb 27, 2007·The British Journal of Ophthalmology·Rengaraj VenkateshRavilla D Ravindran
Dec 20, 2007·Current Opinion in Ophthalmology·Geoffrey TabinLadan Espandar
Oct 25, 2008·Cadernos de saúde pública·Denise Fornazari de OliveiraCarlos Eduardo Leite Arieta
Dec 17, 2008·Indian Journal of Ophthalmology·S S HaldipurkarVishwanath Gokhale
Dec 17, 2008·Indian Journal of Ophthalmology·Parikshit M Gogate
Oct 30, 2010·Journal of Cataract and Refractive Surgery·Rengaraj VenkateshDavid F Chang
Dec 2, 2010·Oman Journal of Ophthalmology·Parikshit Gogate
Jul 1, 2009·Nepalese Journal of Ophthalmology : a Biannual Peer-reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH·S K SinghL Surin
Jan 19, 2011·Journal of Cataract and Refractive Surgery·Parikshit GogateHans Limburg
Jul 14, 2011·European Journal of Ophthalmology·Swati V Zawar, Parikshit Gogate
Jul 21, 2012·Journal of Cataract and Refractive Surgery·Aravind HaripriyaMadhu Shekhar

❮ Previous
Next ❯

Citations

Oct 7, 2018·The British Journal of Ophthalmology·Magali FortanéVincent Daien
Nov 27, 2019·Current Opinion in Ophthalmology·Ashlie Bernhisel, Jeff Pettey
Oct 28, 2014·Clinical & Experimental Ophthalmology·Parikshit Gogate, Ravi Thomas
Jan 1, 2015·Nature Reviews. Disease Primers·Dennis LamDavid F Chang
May 1, 2020·Journal of Cataract and Refractive Surgery·Subash BhattaSuresh Raj Pant
Nov 16, 2017·Current Opinion in Ophthalmology·Sanduk RuitShyam Vyas
Mar 4, 2020·Journal of Cataract and Refractive Surgery·Hui Gim KhorLee Ling Chieng
Nov 17, 2015·Current Opinion in Ophthalmology·Rengaraj VenkateshAlan L Robin
Sep 27, 2020·International Ophthalmology·Jaime JavaloySiben Litila
Mar 6, 2019·Case Reports in Medicine·Ibrahim Toprak, Volkan Yaylali
Jan 28, 2021·BMJ Open Ophthalmology·Tommaso RossiGuido Ripandelli
Dec 22, 2020·Therapeutic Advances in Ophthalmology·Darren S J TingMarcus Ang
Nov 6, 2020·Journal of Cataract and Refractive Surgery·Vellam Ramakrishnan VivekanandanDavid F Chang

❮ Previous
Next ❯

Software Mentioned

Phaco
Science
Direct
Google Scholar
Hinari
PubMed
Embase

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.