The objective is to study the astigmatism induced after phacoalternative surgery in order to improve the quality of the surgery. This was a prospective and descriptive cross-sectional study carried out at the Donka University Hospital in Conakry from july 2021 to january 2022, i.e. a duration of 7 months, on 100 operated eyes. It involved 100 eyes, operated by phacoalternative with an upper limbal incision of at least 6 mm and implantation in the lens bag. Automatic refraction was performed pre-operatively and post-operatively at 45ᵉ day. The mean age was 62 years. Visual acuity was reduced to light perception in 58% of cases preoperatively. The mean implant power after biometry was 19±2.38 Dioptres (D); 50% of patients received the calculated implant. Corneal oedema was the most frequent early complication. Regarding the functional outcome, 82% of the eyes had an uncorrected visual acuity greater than 3/10 at D45 and 92% with correction. 95% of preoperative astigmatism was less than 2D and 57% according to the rule. The average postoperative astigmatism induced was 3.15D against the rule. In conclusion, phacoalternative surgery with a linear superior incision induces an astigmatism against the rule of 3.15 dioptres on average.
| Published in | European Journal of Preventive Medicine (Volume 11, Issue 1) |
| DOI | 10.11648/j.ejpm.20231101.12 |
| Page(s) | 6-10 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Phacoalternative, Astigmatism with the Rule, Astigmatism Against the Rule, Induced Astigmatism, Cataract
| [1] | Renouvin A, Fournié P, Soler V. Les évolutions dans le traitement de la cataracte. NPG Neurol - Psychiatr - Gériatrie. 2016; 16 (92): 64-72. |
| [2] | Berthélémy S. La cataracte. Actual Pharm. 2016; 55 (558): 39-42. |
| [3] | Milazzo S, Laurans P, Turut P. Phacoémulsification. EMC - Ophtalmol. 2005; 2 (2): 77-102. |
| [4] | Donaldson KE, Braga-Mele R, Cabot F, Davidson R, Dhaliwal DK, Hamilton R, et al. Femtosecond laser–assisted cataract surgery. J Cataract Refract Surg. 1 nov 2013; 39 (11): 1753-1763. |
| [5] | He L, Sheehy K, Culbertson W. Femtosecond laser-assisted cataract surgery. Curr Opin Ophthalmol. 2011; 22 (1): 43-52. |
| [6] | Fry LL. The phacosandwich technique. Cataract Surg Altern Small Incision Tech Thorofare NJ Slack Inc. 1990; 110. |
| [7] | Venkatesh R, Tan CS, Sengupta S, Ravindran RD, Krishnan KT, Chang DF. Phacoemulsification versus manual small-incision cataract surgery for white cataract. J Cataract Refract Surg. 2010; 36 (11): 1849-1854. |
| [8] | Ruit S, Tabin G, Chang D, Bajracharya L, Kline DC, Richheimer W, et al. A Prospective Randomized Clinical Trial of Phacoemulsification vs Manual Sutureless Small-Incision Extracapsular Cataract Surgery in Nepal. Am J Ophthalmol. 2007; 143 (1): 32-38.e2. |
| [9] | Billong J. Quelle modification apporte la CCPISS sur l’astigmatisme au centre hospitalier adventiste d’ophtalmologie de Glei au Togo. Mémoire d'ophtalmologie. [FSS (Faculté des sciences de la santé)]: Université de Lomé; 2014. |
| [10] | Souvounou I, Tchabi S, Agbahoungba L, Yehouessi L, Doutetien C. Astigmatisme après extraction extracapsulaire manuelle de cataracte par incision cornéenne pure. Rev CAMES. 2009; 09: 37-39. |
| [11] | Diallo JW, Ahnoux-Zabsonre A, Yameogo C, Dolo M, Sanou J, Daboue A. Résultats fonctionnels de la chirurgie de la cataracte par phacoalternative avec implantation en chambre postérieure: à propos de 300 cas à Bobo Dioulasso (Burkina Faso). Pan Afr Med J. 2015; 20 (1). |
| [12] | Magdum RM, Gahlot A, Maheshgauri RD, Patel K. A comparative study of surgically induced astigmatism in superior and temporal scleral incision in manual small incision cataract surgery. Natl J Med Res. 2012; 2 (04): 497-500. |
| [13] | Malik VK, Kumar S, Kamboj R, Jain C, Jain K, Kumar S. Comparison of astigmatism following manual small incision cataract surgery: superior versus temporal approach. Nepal J Ophthalmol. 2012; 4 (1): 54-58. |
| [14] | Burgansky Z, Isakov I, Avizemer H, Bartov E. Minimal astigmatism after sutureless planned extracapsular cataract extraction. J Cataract Refract Surg. 2002; 28 (3): 499-503. |
| [15] | Gokhale NS, Sawhney S. Reduction in astigmatism in manual small incision cataract surgery through change of incision site. Indian J Ophthalmol. 2005; 53 (3): 201-203. |
APA Style
Koman Chiatse Ellalie, Agli Thierry, N'da Hermine Cynthia, N'diaye Madoune Robert, Fofana Ibrahima, et al. (2023). Study of Induced Astigmatism After Cataract Surgery by Phacoalternative. European Journal of Preventive Medicine, 11(1), 6-10. https://doi.org/10.11648/j.ejpm.20231101.12
ACS Style
Koman Chiatse Ellalie; Agli Thierry; N'da Hermine Cynthia; N'diaye Madoune Robert; Fofana Ibrahima, et al. Study of Induced Astigmatism After Cataract Surgery by Phacoalternative. Eur. J. Prev. Med. 2023, 11(1), 6-10. doi: 10.11648/j.ejpm.20231101.12
AMA Style
Koman Chiatse Ellalie, Agli Thierry, N'da Hermine Cynthia, N'diaye Madoune Robert, Fofana Ibrahima, et al. Study of Induced Astigmatism After Cataract Surgery by Phacoalternative. Eur J Prev Med. 2023;11(1):6-10. doi: 10.11648/j.ejpm.20231101.12
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author = {Koman Chiatse Ellalie and Agli Thierry and N'da Hermine Cynthia and N'diaye Madoune Robert and Fofana Ibrahima and Saley Ali and Barry Mamadou Oury and Konan Manmi Sienou Marguerite Pascaline and Agbohoun Reine Prisca and Appia Gilles Beda and Kouadio Kouao Cédric Romaric},
title = {Study of Induced Astigmatism After Cataract Surgery by Phacoalternative},
journal = {European Journal of Preventive Medicine},
volume = {11},
number = {1},
pages = {6-10},
doi = {10.11648/j.ejpm.20231101.12},
url = {https://doi.org/10.11648/j.ejpm.20231101.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20231101.12},
abstract = {The objective is to study the astigmatism induced after phacoalternative surgery in order to improve the quality of the surgery. This was a prospective and descriptive cross-sectional study carried out at the Donka University Hospital in Conakry from july 2021 to january 2022, i.e. a duration of 7 months, on 100 operated eyes. It involved 100 eyes, operated by phacoalternative with an upper limbal incision of at least 6 mm and implantation in the lens bag. Automatic refraction was performed pre-operatively and post-operatively at 45ᵉ day. The mean age was 62 years. Visual acuity was reduced to light perception in 58% of cases preoperatively. The mean implant power after biometry was 19±2.38 Dioptres (D); 50% of patients received the calculated implant. Corneal oedema was the most frequent early complication. Regarding the functional outcome, 82% of the eyes had an uncorrected visual acuity greater than 3/10 at D45 and 92% with correction. 95% of preoperative astigmatism was less than 2D and 57% according to the rule. The average postoperative astigmatism induced was 3.15D against the rule. In conclusion, phacoalternative surgery with a linear superior incision induces an astigmatism against the rule of 3.15 dioptres on average.},
year = {2023}
}
TY - JOUR T1 - Study of Induced Astigmatism After Cataract Surgery by Phacoalternative AU - Koman Chiatse Ellalie AU - Agli Thierry AU - N'da Hermine Cynthia AU - N'diaye Madoune Robert AU - Fofana Ibrahima AU - Saley Ali AU - Barry Mamadou Oury AU - Konan Manmi Sienou Marguerite Pascaline AU - Agbohoun Reine Prisca AU - Appia Gilles Beda AU - Kouadio Kouao Cédric Romaric Y1 - 2023/01/31 PY - 2023 N1 - https://doi.org/10.11648/j.ejpm.20231101.12 DO - 10.11648/j.ejpm.20231101.12 T2 - European Journal of Preventive Medicine JF - European Journal of Preventive Medicine JO - European Journal of Preventive Medicine SP - 6 EP - 10 PB - Science Publishing Group SN - 2330-8230 UR - https://doi.org/10.11648/j.ejpm.20231101.12 AB - The objective is to study the astigmatism induced after phacoalternative surgery in order to improve the quality of the surgery. This was a prospective and descriptive cross-sectional study carried out at the Donka University Hospital in Conakry from july 2021 to january 2022, i.e. a duration of 7 months, on 100 operated eyes. It involved 100 eyes, operated by phacoalternative with an upper limbal incision of at least 6 mm and implantation in the lens bag. Automatic refraction was performed pre-operatively and post-operatively at 45ᵉ day. The mean age was 62 years. Visual acuity was reduced to light perception in 58% of cases preoperatively. The mean implant power after biometry was 19±2.38 Dioptres (D); 50% of patients received the calculated implant. Corneal oedema was the most frequent early complication. Regarding the functional outcome, 82% of the eyes had an uncorrected visual acuity greater than 3/10 at D45 and 92% with correction. 95% of preoperative astigmatism was less than 2D and 57% according to the rule. The average postoperative astigmatism induced was 3.15D against the rule. In conclusion, phacoalternative surgery with a linear superior incision induces an astigmatism against the rule of 3.15 dioptres on average. VL - 11 IS - 1 ER -
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