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Best Paper Awards
World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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EVALUATION OF FEASIBILITY OF BINOCULAR MAGNIFYING LOUPES IN SMALL INCISION CATARACT SURGERY AND ITS COMPARISON WITH OPERATING MICROSCOPE WITH RESPECT TO COMPLICATIONS AND POSTOPERATIVE INFLAMMATION- A PROSPECTIVE RANDOMIZED STUDY
Dr. Vimal Krishna Rajput. MS (Ophthal), FPOS, FICO*, Dr. Shweta Bhalsing. MS (Ophthal), FGNN, FICO, Dr. Snehal Bhalsing. MS (Ophthal), FVR, FICO and Dr. Soni Rajput. MDS
Purpose: To evaluate feasibility of a binocular loupe in performing small incision cataract surgery (SICS) and to compare the intraoperative complications and postoperative inflammation of surgeries performed using operating microscope and binocular loupe. Setting: District government hospital in Western India. Design: Prospective, randomized controlled study. Methods: Three hundred and twenty-six patients undergoing SICS were randomly allocated to microscope (158 eyes) or loupe (168 eyes) magnification. Intra- and post-op complications and signs of inflammation were evaluated on day 1 and day 30. Results: With similar baseline characteristics, postoperative congestion (p 0.05) and reaction in anterior chamber (p 0.53) were comparable in both the groups. The overall incidence of striate keratopathy (SK) was statistically significantly higher in group B (p 0.003), but visually significant SK (grade 3 and 4) was similar in both the groups. Intra operative complications were comparable in both groups (p 0.74). Mean surgery time with loupe magnification was shorter, but not statistically significant (p 0.14). Conclusions: The complications and handling of intraocular tissues using magnifying loupes is comparable to that using a microscope. Loupe is a cheap and effective tool to perform cataract surgery in a camp set up; so, it can play a role in reducing cataract blindness in developing countries of the world.[Full Text Article]