{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:33:42Z","timestamp":1787772822059,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Manual small-incision cataract surgery (MSICS) has a major role in tackling cataract blindness in our country. Cauterization of sclera is one of the important steps performed in MSICS to have bloodless field during surgery. Only few studies have addressed the effect of cautery on post-operative astigmatism. The present study is designed to evaluate the effect of cautery on surgically induced astigmatism in Indian patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study was designed as a prospective randomized trial conducted in a tertiary health care institution over a period of 2 years. A total of 150 eyes were randomized into two groups. The study group (Group 1, n = 75) underwent MSICS with cauterization using wetfield bipolar cautery with 4 amperes power. In the control group (Group 2, n = 75), no cauterization was performed. Surgically induced astigmatism was calculated using Naesers polar value method and compared between these two groups up to 60 days post-operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Data from 150 eyes were available for evaluation. The net post-operative astigmatic value was 1.01 \u00b1 0.21, 1.04 \u00b1 0.19, and 1.03 \u00b1 0.22 D on the 1\n                      <jats:sup>st<\/jats:sup>\n                      , 7\n                      <jats:sup>th<\/jats:sup>\n                      , and 30\n                      <jats:sup>th<\/jats:sup>\n                      post-operative days, respectively, showing a stable trend in patients undergoing cauterization. In Group 2, the net post-operative astigmatic values observed were 0.47 \u00b1 0.11 D, 0.54 \u00b1 0.10, and 0.54 \u00b1 0.09 D on the 1\n                      <jats:sup>st<\/jats:sup>\n                      , 7\n                      <jats:sup>th<\/jats:sup>\n                      , and 30\n                      <jats:sup>th<\/jats:sup>\n                      post-operative days, respectively. The mean value of surgically induced astigmatism at 2 months post-operatively with and without cautery was 0.60 \u00b1 0.20 D at 90\u00b0 and 0.47 \u00b1 0.10 D at 90\u00b0. The difference was not statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.08).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The results of this study show that the use of cautery in MSICS is not associated with a higher surgically induced post-operative astigmatism. The magnitude of surgically induced astigmatism decreases with time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1540_22","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T10:52:06Z","timestamp":1667213526000},"page":"3883-3887","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of cautery in manual small-incision cataract surgery"],"prefix":"10.4103","volume":"70","author":[{"given":"Vishwa Jyoti","family":"Bahl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishan Pal Singh","family":"Malik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Braham Prakash","family":"Guliani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-37-20240828","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1038\/s41433-020-0806-3","article-title":"Global and regional prevalence of age-related cataract:A comprehensive systematic review and meta-analysis","volume":"34","author":"Hashemi","year":"2020","journal-title":"Eye (Lond"},{"key":"R2-37-20240828","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1016\/j.jcrs.2010.05.025","article-title":"Phacoemulsification versus manual small-incision cataract surgery for white cataract","volume":"36","author":"Venkatesh","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R3-37-20240828","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1007\/s10792-013-9863-y","article-title":"Manual small incision cataract surgery for mature cataracts","volume":"33","author":"Lim","year":"2013","journal-title":"Int Ophthalmol"},{"key":"R4-37-20240828","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1016\/j.jcrs.2010.05.025","article-title":"Phacoemulsification versus manual small-incision cataract surgery for white cataract","volume":"36","author":"Venkatesh","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R5-37-20240828","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1055\/s-2008-1045526","article-title":"Manual ECCE, the present state of the art","volume":"205","author":"Blumenthal","year":"1994","journal-title":"Klin Monbl Augenheilkd"},{"key":"R6-37-20240828","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1136\/bjo.87.3.266","article-title":"Sutureless cataract surgery with nucleus extraction:Outcome of a prospective study in Nepal","volume":"87","author":"Hennig","year":"2003","journal-title":"Br J Ophthalmol"},{"key":"R7-37-20240828","doi-asserted-by":"crossref","first-page":"446","DOI":"10.3928\/1542-8877-20011101-03","article-title":"High volume sutureless intraocular lens surgery in a rural eye camp in India","volume":"32","author":"Balent","year":"2001","journal-title":"Ophthalmic Surg Lasers"},{"key":"R8-37-20240828","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.4103\/ijo.IJO_863_17","article-title":"Review of manual small-incision cataract surgery","volume":"65","author":"Singh","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R10-37-20240828","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1136\/bjo.82.6.637","article-title":"Clinical evaluation of keratometry and computerised videokeratography:Intraobserver and interobserver variability on normal and astigmatic corneas","volume":"82","author":"Karabatsas","year":"1998","journal-title":"Br J Ophthalmol"},{"key":"R11-37-20240828","doi-asserted-by":"crossref","first-page":"201","DOI":"10.4103\/0301-4738.16684","article-title":"Reduction in astigmatism in manual small incision cataract surgery through change of incision site","volume":"53","author":"Gokhale","year":"2005","journal-title":"Indian J Ophthalmol"},{"key":"R12-37-20240828","doi-asserted-by":"crossref","first-page":"2107","DOI":"10.4103\/ijo.IJO_1696_19","article-title":"Minimizing surgically induced astigmatism in non-phaco manual small incision cataract surgery by U-shaped modification of scleral incision","volume":"68","author":"Rajappa","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"R14-37-20240828","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.4103\/ijo.IJO_1158_17","article-title":"Cataract surgery in diabetes mellitus:A systematic review","volume":"66","author":"Kelkar","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"R15-37-20240828","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1093\/bja\/aex247","article-title":"Hypertension and cataract surgery under loco-regional anaesthesia:Not to be ignored?","volume":"119","author":"Kumar","year":"2017","journal-title":"Br J Anaesth"},{"key":"R16-37-20240828","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/j.1475-1313.1999.00404.x","article-title":"Bivariate analysis of surgically induced regular astigmatism. 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