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Year : 2015  |  Volume : 28  |  Issue : 1  |  Page : 162-167

Bimanual microincision versus coaxial phacoemulsification cataract surgery

Department of Ophthalmology, Faculty of Medicine, Menoufia University; Shibin El-Kom Ophthalmology Hospital, Menoufia Governorate, Menoufia, Egypt

Correspondence Address:
Abeer M Wahba
El-Bagour, Menoufia, Gamal Abdel Nasser St., 11160
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.155976

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Background Bimanual microincision and coaxial phacoemulsification are the modalities of cataract surgery. Objectives The aim of the study was to evaluate bimanual microincision phacoemulsification versus coaxial phacoemulsification cataract surgery. Patients and methods Thirty patients were enrolled between December 2011 and March 2013, all with symptoms related to cataract. Fifteen patients were randomly assigned to the bimanual microincision group and another 15 patients to the coaxial phacoemulsification group. All patients were followed after 1 day, 1 week, 1 month, and 3 months of the procedure. The primary outcome of our study was lowering of astigmatism in the bimanual microincision procedure. Results The bimanual group demonstrated a reduced surgically induced astigmatism (SIA). The coaxial group demonstrated a slight rise in SIA. There is a highly significant difference between postoperative SIA in both groups during the postoperative period (P < 0.001). Conclusion Microincisional cataract surgery using bimanual phacoemulsification has many advantages but it is limited by the lack of suitable intraocular lenses for implantation through microincisions; hence, switching to this technique from the conventional one still depends on the surgeon's performance.

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