Year : 2018  |  Volume : 26  |  Issue : 1  |  Page : 35-39

Study of central corneal thickness (CCT) before and after small-incision cataract surgery (SICS) and phacoemulsification surgery

1 Department of Ophthalmology, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
2 Narayana Nethralaya Bangalore, Karnataka, India

Correspondence Address:
Dr. Prachi Shah
A-503, Mithila Apt S.V. Road, Kandivali West, Mumbai 400067, Maharashtra
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njo.njo_30_16

Rights and Permissions

Purpose: To highlight the importance of measurement of central corneal thickness (CCT) which is an indirect indicator of corneal endothelial dysfunction after cataract surgery. Materials and Methods: This was a randomised control trial involving 101 patients who presented with cataract. Cataracts were graded using Lens Opacities Classification system grading. Fifty-one patients underwent small incision cataract surgery (SICS) and 50 underwent phacoemulsification (PHACO). Patients with any other ocular pathology were excluded. Results: There was significant improvement in the best corrected visual acuity (BCVA) comparable in both groups. There was a statistically significant increase in central corneal thickness on day 7th and 30th post op. The change in the CCT and BCVA was comparable between SICS and PHACO on day 30th post op. Conclusion: The increase in CCT suggests that there was some endothelial cell loss leading to change in corneal thickness but not to the extent of causing visual impairment. SICS and phacoemulsification surgery are comparable in respect to visual rehabilitation. Manual SICS is still a safe and cost-effective option in the developing world. Proper case selection, diligent surgery, and adequate postoperative care are essential to maintain a clear cornea.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded409    
    Comments [Add]    

Recommend this journal