Study of Intraoperative Complications in Small Incision Cataract Surgery, its Management and Visual Outcome


Mrunal Patil
Dhiraj Balwir
Sonal Dua


Aims: To study the intraoperative complications in small incision cataract surgery and its management and to study the visual outcome following the management of intraoperative complications. Material and Methods: A total of 250 cases studied from who underwent SICS. Intraoperative complications were studied and managed. Visual outcome following these complications were studied by noting the best corrected visual acuity after day 1, 1st week, 3rd week, 6th week following surgery. Results: The total intraoperative complications were seen in 22 (8.8%) patients. Posterior capsule rent was seen in 6 eyes (2.4%). Iris prolapse in 5 eyes (2%). Descemet detachment was seen in 3 eyes (1.2%). Premature entry was seen in 3 eyes (1.2%). Capsulorrhexis extension was seen in 2 eyes (0.8%). Zonular dialysis was seen in 2 eyes (0.8%). Superior iridodialysis was seen in only one eye (0.4%). Out of 250 cases, 246 came for follow up till 6th week. 214 (85.6%) patients had post operative BCVA 6/6 at the end of 6th week, 25(10%) patients had 6/9, 5 patients (2%) had 6/12-6/18 and remaining 2 patients (0.8%) had 6/24-6/36 BCVA. Conclusion: The study results shows that in high quality cataract surgery (91.2% without intraoperative complications) 99% BCVA 6/18 or better can be attained. In our study incidence of intraoperative complications was 8.8% in which posterior capsular rent and iris prolapse were the common intraoperative complications.


How to Cite
Patil, M., Balwir, D., & Dua, S. (2016). Study of Intraoperative Complications in Small Incision Cataract Surgery, its Management and Visual Outcome. MVP Journal of Medical Sciences. Retrieved from


  1. Minasian DC, Mehera V. 3.8 Milion blinded by cataract each year: Projections of the first epidemiological study of incidence of cataract blindness in India. Br J Ophthalmol. 1990; 74:341–3
  2. Brian G, Taylor H. Cataract blindness: challenges for the 21st century. Bulletin of the World Health Organization. 2001; 79(3):249–56.
  3. Park K. Park’s Textbook of Preventive and Social Medicine, 18th ed., Banarasidas Bhanot, Jabalpur. 2005; 319–23.
  4. Thylefors B. A global initiative for the elimination of avoidable blindness. Community Eye Health. 1998; 11(25):1–3.
  5. Allen D, Vasavada A. Cataract and surgery for cataract. BMJ : British Medical Journal. 2006; 333(7559):128–32.
  6. Shrestha JK, Pradhan YM, Snellingen T. Outcomes of extracapsular surgery in eye camps of eastern Nepal. Br J Ophthalmol. 2001; 85: 635–7, and 648–52.
  7. Foster A. Cataract and Vision 2020—the right to sight initiative. Br J Ophthalmol 2001; 85:635–7.
  8. Dada VK, Sindhu N. Management of cataract-A revolutionary change that occurred during last two decades. J Indian Med Association. 1999; 97:313–7.
  9. Jose R. National Programme for control of blindness. Indian J Community Health 1997; 3:5–9.
  10. Murthy GVS, Gupta SK, John N, Vashist P. Current status of cataract blindness and Vision 2020: The right to sight initiative in India. Indian Journal of Ophthalmology. 2008; 56(6):489–94.
  11. Venkatesh R, Muralikrishnan R, Balent LC, Karthik Prakash S, Venkatesh Prajna N. Outcomes of high volume cataract surgeries in a developing country. Br J Ophthalmol. 2005; 89:1079–83.
  12. Sihota R, Tandon R. Parsons’ Diseases of the Eye, 21st edition, Elsevier Publications, The Lens. 2011; 18:270.
  13. Khanna RC, Kaza S, Palamaner Subash Shantha G, et al. Comparative outcomes of manual small incision cataract surgery and phacoemulsification performed by ophthalmology trainees in a tertiary eye care hospital in India: a retrospective cohort design. BMJ Open. 2012; 2:e001035. doi:10.1136/bmjopen-2012-001035.
  14. Gogate PM, Deshpande M, Wormald RP, Deshpande R, Kulkarni SR. Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial. Br J Ophthalmol. 2003; 87:667–72.
  15. Neekhra A, Trivedi HL, Todkar H. Comparative study of posterior rent in cases of routine extracapsular, small incision non phaco and phacoemulsification. Small. 2002; 1000(65):6–5
  16. Hennig A, Yorston D, Kumar J, Foster A. Sutureless cataract surgery with nucleus extraction: Outcome of a prospective study in Nepal. Br J Ophthalmol. 2003; 87(3):266–70.
  17. Khan MT, Jan S, Hussain Z, Karim S, Khalid MK, Mohammad L. Visual outcome and complications of manual sutureless small incision cataract surgery. Pak J Ophthalmol. 2010; 26:32–8.
  18. Balmer A, Andenmatten R, Hiroz CA. Complications of cataract surgery: Retrospective study of 1304 cases. KlinMonstbl-Augenheilkd. 1991; 198(5):344–6.
  19. Kongsap P. Manual sutureless cataract surgery with foldable intraocular lens using the Kongsap technique: the results of 95 cases. J Med Assoc Thai. 2007 Aug; 90 (8):1627–32.
  20. Iqbal Y, Zia S, Baig Mirza AU. Intraoperative and early postoperative complications of manual sutureless cataract extraction. J Coll Physicians Surg Pak. 2014 Apr; 24(4):252–5. doi: 04.2014/JCPSP.252255.
  21. Hennig A, Kumar J, Singh AK, Ansari A, Singh S, Gurung R, Foster A. World Sight Day and Cataract Blindness. Br J Ophthalmol. 2002; 86:830–1.
  22. Schroeder B. Sutureless cataract extraction: complications and management; learning curves. Comm Eye Health J. 2003; 16(48):58–60.
  23. Zaman M et al. Outcome of sutureless manual extracapsular cataract extraction. J Ayub Med Coll Abbottabad. 2009; 21(1):39–42.
  24. Kapoor H, Chatterjee A, Daniel R, Foster A. Evaluation of visual outcome of cataract surgery in an Indian eye camp. Br J Ophthalmol. 1999; 83:343–6.
  25. Ravindra MS, Rekha G. Rural eye camp versus base hospital camp. Indian Ophthalmol. 1996; 44:303–4.
  26. Sudhakar J, Ravindran RD, Natchiar G. Analysis of complications in 1000 cases of posterior chamber intra ocular lens implantation. Indian J Ophthalmol. 1989; 37:78–9.

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