Comparison of efficacy and quality of life in patients treated with phacoemulsification or manual sutureless small-incision extracapsular cataract surgery
AIM:To compare the efficacy and quality of life ( QOL) in cataract patients treated with phacoemulsification (PHACO) or manual sutureless small-incisionextracapsular cataract surgery ( SICS). METHODS: One hundred and forty-four patients with cataract were assigned randomly to be treated with either PHACO(Group Ⅰ of 73 eyes) or SICS(Group Ⅱ of 71 eyes). Clinical outcomes and complications were observed and recorded,and QOL questionnaires were obtained respectively before surgery,and 3 d and 1 month after surgery. RESULTS: Both groups had achieved good outcomes with low complication rates. One month post operation,no significant difference was found in the visual acuity distribution between SICS group and PHACO group. The QOL and all sub-scales 3 d and 1 month post operation improved significantly in both groups,with the results of 1 month after significantly better than those of 3 d after( P < 0.05 ). The sub-scales of self-care and total QOL in Group I were significantly better than those in Group Ⅱ while other two sub-scales of mobility and social activities in Group Ⅱ were significantly better than those in Group Ⅰ (P<0. 05). CONCLUSION: No significant difference in the efficacy and quality of life has been found in cataract patients treated with SICS or PHACO. SICS is a more cost-effective approach and may be the more appropriate and economical surgical procedure for the treatment of advanced cataracts.
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NSTL
万方数据
维普
