{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:54:26Z","timestamp":1793321666611,"version":"4.5.0"},"reference-count":26,"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>To determine the safety and efficacy of manual small-incision cataract surgery (MSICS) for brunescent and black cataracts in patients with other ocular comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Medical records of patients with hard cataracts (grade 4 nuclear opalescence and above) with other ocular comorbidities such as spheroidal degeneration of the cornea (SDC), pseudoexfoliation (PXF), non-dilating pupil, and high myopia who underwent MSICS were retrieved retrospectively. Intraoperative and postoperative complications were noted. Preoperative and postoperative visual outcome comparisons were performed using paired t-tests. Statistical significance was set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 124 cataract patients with brunescent or black cataracts and other ocular comorbidities underwent surgery during the study period. They ranged in age from 56 to 89 years (mean: 68.9 + 11.9 years), with 55.66% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 69) of the patients being female and 44.35% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 55) male. Of the 124 cases, 45.16% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 56) had SDC, 31.45% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 39) had PXF, 14.51% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 18) had non-dilating pupils, and 8.87% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 11) had high myopia. Preoperatively all patients had visual acuity &lt;6\/60. At 1 month postoperatively 77.4% of patients achieved good vision &gt;6\/18, 16.9% had a borderline vision (6\/18\u20136\/60), and 5.6% had a poor vision (&lt;6\/60). No serious complications were observed. One patient had posterior capsular rent in a case of high myopia, and two cases had zonular dialysis for pseudoexfoliation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>MSICS with intraocular lens implantation is safe and effective in eyes with brunescent\/black cataracts if associated with SDC, PXF, high myopia, and non-dilating pupils and provides good visual outcomes with minimal complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1565_22","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T10:52:06Z","timestamp":1667213526000},"page":"3898-3903","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Safety and efficacy of manual small-incision cataract surgery in patients with brunescent and black cataracts and other ocular comorbidities"],"prefix":"10.4103","volume":"70","author":[{"given":"Manju","family":"Gajraj","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Mohan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-40-20240828","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1016\/j.jcrs.2018.03.038","article-title":"Phacoemulsification of the rock-hard dense nuclear cataract:Options and recommendations","volume":"44","author":"Foster","year":"2018","journal-title":"J Cataract Refract Surg"},{"key":"R2-40-20240828","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.jcrs.2018.09.015","article-title":"Phacoemulsification with coexisting corneal opacities","volume":"45","author":"Sharma","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R3-40-20240828","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s12009-007-0023-8","article-title":"Small pupil phaco surgery:A new technique","volume":"39","author":"Malyugin","year":"2007","journal-title":"Ann Ophthalmol (Skokie"},{"key":"R4-40-20240828","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1016\/j.jcrs.2009.03.011","article-title":"Pseudoexfoliation and the cataract surgeon:Preoperative, intraoperative, and postoperative issues related to intraocular pressure, cataract, and intraocular lenses","volume":"35","author":"Shingleton","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"R5-40-20240828","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1097\/j.jcrs.0000000000000664","article-title":"Efficacy and complications of cataract surgery in high myopia","volume":"47","author":"Yao","year":"2021","journal-title":"J Cataract Refract Surg"},{"key":"R6-40-20240828","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/APO.0b013e318249f7b9","article-title":"Manual small incision cataract surgery:A review","volume":"1","author":"Venkatesh","year":"2012","journal-title":"Asia Pac J Ophthalmol (Phila"},{"key":"R7-40-20240828","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1001\/archopht.1993.01090060119035","article-title":"The Lens Opacities Classification System III. 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