Document Detail

Loupe magnification for small incision cataract surgery--an alternative to microscope magnification?
MedLine Citation:
PMID:  19079397     Owner:  NLM     Status:  MEDLINE    
A Prospective randomized controlled study was conducted to compare outcome of Small Incision Cataract Surgery (SICS) using microscope or loupe magnification. Two hundred fifty one patient with mature cataract were randomly allocated to SICS-Fishhook Technique with either microscope (127 eyes) or loupe (124 eyes) magnification. Intra- and postoperative complications and immediate visual outcome were analyzed. Nearly two third (microscope 65% and magnifying loupe 62.9%) of all patients had good visual outcome on first postoperative day. Poor outcome (<6/60) was recorded in 8% (microscope group) and 7% (magnifying loupe group). Mean visual acuity with Snellen was 0.39 (SD 0.2) in microscope group and 0.38 (SD 0.2) in magnifying loupe group. Intra operative complications were comparable in both groups. Mean surgery time with loupe magnification was significantly shorter. Comparatively equivalent good surgical outcome was achieved with loupe as well as with microscope magnification. However performing SICS with loupe magnification is significantly faster. Small incision cataract surgery with loupe magnification is safe and effective procedure for cataract surgery so it can play a role in reducing cataract blindness in developing countries of the world.
S K Singh; I Winter; A Hennig
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  JNMA; journal of the Nepal Medical Association     Volume:  47     ISSN:  0028-2715     ISO Abbreviation:  JNMA J Nepal Med Assoc     Publication Date:    2008 Oct-Dec
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-04-14     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0045233     Medline TA:  JNMA J Nepal Med Assoc     Country:  Nepal    
Other Details:
Languages:  eng     Pagination:  210-4     Citation Subset:  IM    
Biratnagar Eye Hospital, Biratnagar, Nepal.
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MeSH Terms
Cataract Extraction / methods*
Equipment Design
Intraoperative Period
Microscopy / instrumentation*
Middle Aged
Postoperative Complications / prevention & control
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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