{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:04Z","timestamp":1787758444213,"version":"build-2784847793"},"reference-count":14,"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>Globally, cataracts have remained the major cause of blindness. Cataract accounts for 62.6% of blindness affecting 9\u201312 million people. The only treatment for cataracts is surgical removal of cataracts. The surgical procedures include phacoemulsification and extracapsular cataract extraction (ECCE). In India, there is a huge backlog of cataract patients. Phacoemulsification is preferred nowadays for early visual rehabilitation, but in developing countries like ours, where facilities are not widely available, small-incision cataract surgery (SICS) is a cost-effective alternative as no machine is required. Also, it provides early visual rehabilitation as it is sutureless when compared to ECCE. So, manual SICS has emerged as a substitute for phacoemulsification and ECCE. The aim of the study was to evaluate the visual acuity and surgically induced astigmatism in patients more than 40 years of age, undergoing manual SICS with nucleus management by viscoexpression technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a prospective study that included 50 patients over the age of 40 years undergoing manual SICS at a tertiary health-care center in North India by viscoexpression technique. Only those patients whose functional visual disability could be attributed to cataracts were included in the study. Preoperative and postoperative astigmatism were analyzed in the first, fourth, and sixth weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty patients who were undergoing manual SICS were analyzed. Preoperative best-corrected visual acuity (BCVA) and astigmatism were compared to postoperative BCVA and astigmatism. Of 50 patients, 48 (96%) patients were able to gain good vision after 6 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study showed early visual rehabilitation with less surgically induced astigmatism following manual SICS by viscoexpression technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1582_22","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T10:52:06Z","timestamp":1667213526000},"page":"3933-3937","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Visual outcome after manual small-incision cataract surgery by viscoexpression technique"],"prefix":"10.4103","volume":"70","author":[{"given":"Narinder","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gagandeep","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charu","family":"Chadha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Sethi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NR","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sugandhi","family":"Gauri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R4-47-20240828","doi-asserted-by":"crossref","first-page":"39","DOI":"10.4103\/0301-4738.44507","article-title":"Viscoexpression technique in manual small incision cataract surgery","volume":"57","author":"Gokhale","year":"2009","journal-title":"Indian J Ophthalmol"},{"key":"R5-47-20240828","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.ophtha.2006.08.057","article-title":"Why do phacoemulsification?Manual small-incision cataract surgery is almost as effective, but less expensive","volume":"114","author":"Gogate","year":"2007","journal-title":"Ophthalmology"},{"key":"R6-47-20240828","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/S0377-1237(06)80002-X","article-title":"Manual small incision cataract surgery:Experience at a military hospital","volume":"62","author":"Jha","year":"2006","journal-title":"Med J Armed Forces India"},{"key":"R7-47-20240828","first-page":"1001","article-title":"Comparison of surgically induced astigmatism in various incisions in manual small incision cataract surgery","volume":"7","author":"Jauhari","year":"2014","journal-title":"Int J Ophthalmol"},{"key":"R8-47-20240828","doi-asserted-by":"crossref","first-page":"96","DOI":"10.4103\/2278-9596.158824","article-title":"Outcome of surgery in a manual small incision cataract surgery training in Calabar, Nigeria","volume":"5","author":"Nkanga","year":"2015","journal-title":"Arch Int Surg"},{"key":"R10-47-20240828","first-page":"387","article-title":"Astigmatism and visual recovery after 'large incision'extracapsular cataract surgery and 'small'incisions for phacoemulsification","volume":"95","author":"Zheng","year":"1997","journal-title":"Trans Am Ophthalmol Soc"},{"key":"R11-47-20240828","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1097\/00006324-197112000-00002","article-title":"Astigmatism--its components and their changes with age","volume":"48","author":"Anstice","year":"1971","journal-title":"Am J Optom Arch Am Acad Optom"},{"key":"R12-47-20240828","first-page":"146","article-title":"Visual rehabilitation following manual small incision cataract surgery","volume":"7","author":"Ahmed","year":"2005","journal-title":"JK Sci"},{"key":"R13-47-20240828","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":"R15-47-20240828","doi-asserted-by":"crossref","first-page":"255","DOI":"10.4103\/0301-4738.18907","article-title":"Comparison of subtenonanaesthesia with peribulbaranaesthesia for manual small incision cataract surgery","volume":"53","author":"Parkar","year":"2005","journal-title":"Indian J Ophthalmol"},{"key":"R16-47-20240828","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.ophtha.2004.11.055","article-title":"Safety and efficacy of phacoemulsification compared with manual small-incision cataract surgery by a randomized controlled clinical trial:Six-week results","volume":"112","author":"Gogate","year":"2005","journal-title":"Ophthalmology"},{"key":"R17-47-20240828","first-page":"45","article-title":"The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital","volume":"51","author":"Kothari","year":"2003","journal-title":"Indian J Ophthalmol"},{"key":"R18-47-20240828","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.4103\/ijo.IJO_1261_18","article-title":"Evaluation of complications and visual outcome in various nucleus delivery techniques of manual small incision cataract surgery","volume":"67","author":"Sharma","year":"2019","journal-title":"Indian J Ophthalmol"},{"key":"R19-47-20240828","first-page":"432","article-title":"Nucleus viscoexpression compared with other techniques of nucleus removal in extracapsular cataract extraction with capsulorhexis","volume":"25","author":"Bellucci","year":"1994","journal-title":"Ophthalmic Surg"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1582_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:13:41Z","timestamp":1787757221000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1582_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":14,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1582_22","relation":{},"ISSN":["0301-4738"],"issn-type":[{"value":"0301-4738","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}