Munir Amjad Baig, Shakeel Ahmad Faiz, Qazi Waheedullah.
Comparison of the Ruit and Modified Blumenthal Techniques of Manual Small Incision Cataract (MSICS) Surgery.
Al-Shifa J Ophthalmol Jan ;14(2):66-71.

Background: Modern cataract surgery is aimed to bring early recovery, good visual results, and minimal complications. Manual small incision cataract surgery has a short learning curve, better safety and lower costs. Objectives: To report the place and relevance of manual small incision cataract surgery (SICS) in our setup. Study Design: A prospective, non-randomized study of 20 months duration conducted at Federal Government Services Hospital Islamabad. Subjects and Methods: This was a review of 500 uncomplicated patients waiting for routine cataract extraction after taking their consent and permission from Ethical committee. Patients with previous history of ocular surgery, diseases as glaucoma, corneal or retinal disorders were excluded. Two groups of equal halves were made. Group 1, n=250 undergoing Blumenthal and the other group, n=250, was offered Ruit technique. Postoperative visual acuity, surgically induced astigmatism and intraoperative and postoperative complications were compared. Data was entered SPSS version 17 and analyzed for frequencies and percentages. Results: Satisfactory results were obtained with Blumenthal (82%) and Ruit (85%) techniques. Surgically induced astigmatism was calculated by simple subtraction. Both groups showed Elschnig pearls 8% and 10%, irregular pupils 7% and 5% respectively. Five percent did not require glasses in Blumenthal group. There were no cases of posterior capsule rupture, dropped nucleus or suprachoroidal hemorrhage in either group. Conclusion: Both Ruit and the Blumenthal techniques showed good visual results with minimal complications.

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