WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

World Journal of Advance Healthcare Research (WJAHR) has indexed with various reputed international bodies like : Google Scholar , Index Copernicus , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , Cosmos Impact Factor , Scientific Indexing Services (SIS) , UDLedge Science Citation Index , International Impact Factor Services , International Society for Research Activity (ISRA) Journal Impact Factor (JIF) , IFSIJ Measure of Journal Quality , Scientific Journal Impact Factor (SJIF) , International Scientific Indexing, UAE (ISI) (Under Process) , International Impact Factor Services (IIFS) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Academia , Scope Database , 

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Indexing

  Indexing

  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • IFSIJ Measure of Journal Quality
  • Scientific Journal Impact Factor (SJIF)
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
  • Scholar Article Journal Index (SAJI)
  • International Scientific Indexing ( ISI )
  • Academia
  • Scope Database

Abstract

EVALUATION OF FEASIBILITY OF BINOCULAR MAGNIFYING LOUPES IN SMALL INCISION CATARACT SURGERY AND ITS COMPARISON WITH OPERATING MICROSCOPE WITH RESPECT TO COMPLICATIONS AND POSTOPERATIVE INFLAMMATION- A PROSPECTIVE RANDOMIZED STUDY

Dr. Vimal Krishna Rajput. MS (Ophthal), FPOS, FICO*, Dr. Shweta Bhalsing. MS (Ophthal), FGNN, FICO, Dr. Snehal Bhalsing. MS (Ophthal), FVR, FICO and Dr. Soni Rajput. MDS

ABSTRACT

Purpose: To evaluate feasibility of a binocular loupe in performing small incision cataract surgery (SICS) and to compare the intraoperative complications and postoperative inflammation of surgeries performed using operating microscope and binocular loupe. Setting: District government hospital in Western India. Design: Prospective, randomized controlled study. Methods: Three hundred and twenty-six patients undergoing SICS were randomly allocated to microscope (158 eyes) or loupe (168 eyes) magnification. Intra- and post-op complications and signs of inflammation were evaluated on day 1 and day 30. Results: With similar baseline characteristics, postoperative congestion (p 0.05) and reaction in anterior chamber (p 0.53) were comparable in both the groups. The overall incidence of striate keratopathy (SK) was statistically significantly higher in group B (p 0.003), but visually significant SK (grade 3 and 4) was similar in both the groups. Intra operative complications were comparable in both groups (p 0.74). Mean surgery time with loupe magnification was shorter, but not statistically significant (p 0.14). Conclusions: The complications and handling of intraocular tissues using magnifying loupes is comparable to that using a microscope. Loupe is a cheap and effective tool to perform cataract surgery in a camp set up; so, it can play a role in reducing cataract blindness in developing countries of the world.

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