{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:22Z","timestamp":1786649302966,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>India\u2019s cataract surgery rate has been hovering around a creditable 6000 per million population but the coverage is variable across the geography and demography with sharp urban rural divide. Smaller incisions in manual small incision cataract surgery (MSICS) with phacofracture have been credited with lower astigmatism and faster recovery, which is especially useful for patients traveling for surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective chart analysis based observational study of 66 eyes, we describe the early postoperative results with 2 mm MSICS with phacofracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean spherical equivalent of the autorefractor measured astigmatic error changed marginally to \u22120.51 diopters (SD = 0.58) from \u22120.44 diopters (SD = 0.42) (\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      = \u22128.410,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0) translating to mean change in astigmatism of 0.14 DCyl when the axis was ignored. The keratometric difference between steepest and flattest axis of the anterior surface of the central 3 mm zone of the cornea changed from a mean of 0.89 diopters (SD = 0.55) to 1.39 diopters (SD = 1.03). The visual acuity improved to mean logarithm of the minimum angle of resolution (logMAR) score of 0.27 (SD = 0.33) at 1 week and 0.007 (SD = 0.04) which corresponds to 6\/6P on Snellen\u2019s acuity at 1 month or more.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A 2 mm MSICS with phacofracture can deliver low astigmatism and good visual recovery in cataract surgery. The study underlines the need for considering the refraction at anterior and posterior corneal interfaces when the triplanar incision with separate interfaces is used.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_308_22","type":"journal-article","created":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T07:18:21Z","timestamp":1654067901000},"page":"1997-2001","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Early postoperative astigmatism in 2-mm manual small incision cataract surgery with phacofracture"],"prefix":"10.4103","volume":"70","author":[{"given":"Amulya","family":"Sahu","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Sahu Eye Hospital and Kamal Nethralay Pvt Ltd, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jatinder","family":"Bali","sequence":"additional","affiliation":[{"name":"Ophthalmologist, Narela Polyclinic, North Delhi Municipal Corporation Delhi, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinmaya","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Sahu Eye Hospital and Kamal Nethralay Pvt Ltd, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Regional Institute of Ophthalmology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarti","family":"Heda","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, National Institute of Ophthalmology, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilutparna","family":"Deori","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,5,31]]},"reference":[{"key":"R1-20251004","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0146-2776(80)80071-1","article-title":"Clinical evaluation of the terry surgical keratometer","volume":"6","author":"Colvard","year":"1980","journal-title":"Am Intraocular Implant Soc J"},{"key":"R2-20251004","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/S0002-9394(14)76128-8","article-title":"Reducing surgically induced astigmatism by using a scleral tunnel","volume":"97","author":"Girard","year":"1984","journal-title":"Am J Ophthalmol"},{"key":"R3-20251004","doi-asserted-by":"crossref","first-page":"1887","DOI":"10.1016\/S0161-6420(99)90397-4","article-title":"Low-cost high-volume extracapsular cataract extraction with posterior chamber intraocular lens implantation in 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Ophthalmol"},{"key":"R12-20251004","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":"R13-20251004","first-page":"33","article-title":"A comparison of the effectiveness and cost effectiveness of three different methods of cataract extraction in relation to the magnitude of post-operative astigmatism","volume":"15","author":"Muralikrishnan","year":"2003","journal-title":"Asia Pacific J Vol"},{"key":"R14-20251004","first-page":"181","article-title":"Manual small incision cataract surgery in eyes with white cataracts","volume":"54","author":"Venkatesh","year":"2005","journal-title":"Indian J Ophthalmol"},{"key":"R15-20251004","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1038\/eye.2008.190","article-title":"Safety and efficacy of manual small incision cataract surgery for brunescent and black cataracts","volume":"23","author":"Venkatesh","year":"2009","journal-title":"Eye"},{"key":"R16-20251004","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.ajo.2006.07.023","article-title":"A prospective randomized clinical trial of phacoemulsification vs manual sutureless smallincision extracapsular cataract surgery in Nepal","volume":"143","author":"Ruit","year":"2007","journal-title":"Am J Ophthalmol"}],"container-title":["Indian Journal of 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