Objective: Cataract is a partial or total opacification of the lens responsible\nfor blindness. The treatment is surgical. The purpose of our study was to evaluate\nthe results of the newly introduced manual small incision cataract surgery\n(SICS) and compare them with those of the conventional extra-capsular\nextraction method. Patients and Method: Analytical cross-sectional study\nwas carried out at the ophthalmology department of the University Hospital\nof Bouaké for a period of 1 year. Results: The two surgical techniques were\ncompared at equal proportions. The average duration of interventions was\nlonger during the sutured Extra Capsular Extraction (ECE) compared to the\nSICS. Rupture of the posterior capsule with vitreous exit, which was the most\nobserved intraoperative complication, was predominant with ECE with suture\n(16%) against 8% for SICS. Corneal edema observed in the early postoperative\nperiod, was predominant with sutured ECE (30%), against 20% for SICS.\nCorneal edema, which was more observed with EEC compared to SICS, dominated\nsecondary and late postoperative complications. Post-operative astig matism\ninduced by ECE with suture was between .................... of patients and between .... dioptre in 73.91% of SICS. Visual acuity\nwithout correction in the early days was better with SICS. Conclusion: In this\ncomparative study of cataract surgery, we noted superimposable results for\nboth techniques. However, the prevalence of pre- and post-operative complications was more frequent with sutured ECE. The technique without suture\nallows visual recovery and a quick return to normal life.
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