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首页> 外文期刊>Journal of Clinical and Diagnostic Research >A Comparative Study of Clear Corneal Phacoemulsification with Rigid IOL Versus SICS the Preferred Surgical Technique in Low Socio-economic group Patients of Rural Areas
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A Comparative Study of Clear Corneal Phacoemulsification with Rigid IOL Versus SICS the Preferred Surgical Technique in Low Socio-economic group Patients of Rural Areas

机译：农村低社会经济群体患者采用透明人工晶状体超声乳化与刚性人工晶状体与SICS首选手术技术的比较研究

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Context: Low socio-economic group patients from rural areas often opt for free cataract surgeries offered by charitable organisations. SICS continues to be a time tested technique for cataract removal in such patients. In recent times, camp patients are sometimes treated by clear corneal phacoemulsification with implantation of a rigid IOL, which being more cost effective is often provided for camp patients. This study was undertaken to find out which surgical technique yielded better outcomes and was more suited for high volume camp surgery. Aim: To find the better surgical option- phacoemulsification with rigid IOL or SICS, in poor patients from rural areas. Settings and Design: A prospective randomised controlled trial of cataract patients operated by two different techniques. Materials and Methods: One hundred and twelve eyes were selected and were randomly allocated into two groups of 56 eyes each. At completion of the study, data was analysed for 52 eyes operated by clear corneal phacoemulsification and implantation of a rigid IOL, and 56 eyes operated by SICS. Statistical Analysis Used: Unpaired t-test was used to calculate the p- value. Results: The results were evaluated on the following criteria The mean post-operative astigmatism at the end of four weeks - was significantly higher in phacoemulsification group as compared to SICS group. The BCVA (best corrected visual acuity) at the end of four weeks - was comparable in both groups. Subjective complaints and/ or complications: In phaco group two patients required sutures and seven had striate keratitis, while none in SICS group. Complaint of irritation was similar in both groups. Surgical time- Was less for SICS group as compared to phaco group. Conclusion: SICS by virtue of being a faster surgery with more secure wound and significantly less astigmatism is a better option in camp patients from rural areas as compared to phacoemulsification with rigid IOL.
机译：背景：来自农村地区的低社会经济群体患者通常选择慈善组织提供的免费白内障手术。 SICS仍是一项经过时间检验的技术，可用于此类患者的白内障摘除术。近来，营地患者有时通过植入坚硬的IOL通过透明角膜超声乳化术治疗，这通常为营地患者提供更具成本效益的方法。进行这项研究是为了找出哪种手术技术能产生更好的结果并且更适合于大批量营地手术。目的：为来自农村地区的贫困患者寻找更好的外科手术选择-硬质IOL或SICS超声乳化术。设置和设计：一项前瞻性随机对照试验，对采用两种不同技术的白内障患者进行了研究。材料与方法：选择112只眼，随机分为两组，每组56只眼。在研究完成时，分析了通过透明角膜超声乳化和刚性IOL植入手术的52眼和SICS手术的56眼的数据。使用的统计分析：未配对t检验用于计算p值。结果：根据以下标准评估结果。超声乳化组与SICS组相比，在四周结束时的平均术后散光显着更高。四周结束时的BCVA（最佳矫正视力）在两组中相当。主观主诉和/或并发症：phaco组中有2例需要缝合，7例患有严重的角膜炎，而SICS组则没有。两组的刺激症状相似。手术时间-与phaco组相比，SICS组的手术时间更少。结论：与硬质人工晶状体超声乳化术相比，SICS手术更快，伤口更安全，散光明显更少，是农村地区营地患者的更好选择。

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