Study of Endothelial Cell Loss in Small Incision Cataract Surgery (SICS) (Code-T0225)

Introduction: Small Incision Cataract Surgery (SICS) is a widely used technique for cataract extraction, known for its effectiveness and minimal invasiveness. However, one of the potential complications of this procedure is endothelial cell loss, which can impact corneal health and visual outcomes. The aim of this study is to investigate the extent of endothelial cell loss associated with SICS and identify any factors influencing this phenomenon.

Aim and Objective:

1.      To determine the post operative endothelial cell count loss after small incision cataract surgery

1. To determined association between endothelial cell loss with grade of cataract.

Methods: A prospective cohort study was conducted on 100 patients undergoing SICS. Endothelial cell counts were measured preoperatively and postoperatively using specular microscopy. Factors such as age, surgical technique, intraocular pressure, and duration of surgery were analyzed for their potential impact on endothelial cell loss.

Results: The study found that endothelial cell loss occurred in all patients, with an average reduction in cell count observed postoperatively. The extent of loss was found to be significantly influenced by factors such as the duration of surgery and intraocular pressure. However, the overall loss was within clinically acceptable limits for most patients.

Conclusion: Endothelial cell loss is an inevitable consequence of SICS, though it remains within manageable limits for the majority of patients. Careful surgical technique and management of intraocular pressure can help minimize endothelial damage, ensuring optimal postoperative outcomes.

Keywords: Endothelial cell loss, Small Incision Cataract Surgery, Specular microscopy, Corneal health, Cataract extraction, Surgical technique.