COMPARATIVE EVALUATION OF MACULAR THICKNESS AFTER PHACOEMULSIFICATION VS. MANUAL SICS BY OCULAR COHERENCE TOMOGRAPHY IN DIABETIC PATIENTS

Abstract

Parthapratim Mandal1, Smiti Rani Srivastava2

BACKGROUND
The aim of the study is to evaluate the change in macular thickness by optical coherence tomography after uncomplicated phacoemulsification versus uncomplicated manual SICS in known diabetic patients.
MATERIALS AND METHODS
The study was done at Regional Institute of Ophthalmology, Calcutta Medical College and Hospital, Kolkata. Total sample size was 50. Patients were randomised into two groups- 25 in phaco group and 25 in SICS group.
RESULTS
Higher rise in Mean Central Foveal Thickness (MCFT) was noted in SICS group throughout the follow up. Significant difference in MCFT between phaco and SICS group was noted on 3rd day, 7th day, 3rd month and 6 month follow up. Clinically, significant macular oedema was not found at any point of time in any patient during this study.
CONCLUSION
Significant higher macular thickness was observed in SICS group as compared to phaco group, so we should be more cautious to undertake SICS in those patients who are at risk of developing CME or who have a higher macular thickness as seen in diabetic patients.

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