High volume sutureless intraocular lens surgery in a rural eye camp in india

Ophthalmic Surg Lasers. 2001 Nov-Dec;32(6):446-55.


Background and objective: To describe the use of small incision sutureless cataract surgery (SISCS) that permits high-volume, high-quality, and low-cost surgery.

Patients and methods: We compared the speed, safety, and visual results of 1190 surgical techniques performed in a public eye camp in India. Intraocular lenses were received by 97% of patients (1154). Surgical techniques used were SISCS, phacoemulsification, and standard extracapsular cataract extraction (ECCE) technique.

Results: Postoperatively, 60.0% attained uncorrected vision of 6/24 or better. There was little difference in visual results or complication rates among the three techniques. The most striking finding is the speed of SISCS, which enables experienced surgeons to perform the technique in 3.8 to 4.2 minutes.

Conclusion: We believe this surgical technique is of major importance especially in developing nations facing enormous surgical volumes and limited resources.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • India
  • Lens Implantation, Intraocular / methods*
  • Lens Implantation, Intraocular / statistics & numerical data
  • Lenses, Intraocular
  • Minimally Invasive Surgical Procedures
  • Mobile Health Units*
  • Ophthalmology / methods
  • Ophthalmology / statistics & numerical data
  • Phacoemulsification / methods*
  • Phacoemulsification / statistics & numerical data
  • Postoperative Complications
  • Rural Population*
  • Safety
  • Suture Techniques
  • Treatment Outcome