A Prospective Study on the Outcomes of Manual Small Incision Cataract Surgery (MSICS) Using the Modified Ruit Technique at Nan Hospital
Keywords:
Modified Ruit technique, Manual small incision cataract surgeryAbstract
Objective: To study the visual outcomes, post-operative astigmatism, and complications of manual small incision cataract surgery (MSICS) using the Modified Ruit technique in the treatment of cataract patients.
Design: Prospective study
Methods: The medical records of 91 patients (91 eyes) with cataracts who underwent MSICS using a temporal scleral tunnel incision (Ruit’s technique) at Nan Hospital between October 2023 and February 2024 were reviewed. All 91 surgeries were performed by a single surgeon. Out of these 20 eyes (20 patients), four eyes missed the six-week follow-up, one eye was subject to incomplete data, seven eyes underwent combined ocular procedures, and eight eyes had pre-operative vision impairing pathology or previous ocular surgery. Records of 71 patients (71 eyes) with pre-operative, post-operative visual acuity (VA), operative time, intraoperative difficulties, intraoperative complication, post-operative complications, and astigmatism were analyzed in the second and sixth week after surgery.
Results: Seventy-one eyes of 71 patients were treated by MSICS using the Modified Ruit technique. Patients achieved excellent surgical outcomes with low complication rates. The post-operative best-corrected visual acuity (BCVA) results at the sixth-week follow-up were 20/20 to 20/40 in 95.8% (68/71) and 20/50 to 20/70 in 4.2% (3/71). At the sixth week after treatment, the mean post-operative astigmatism was -1.14±0.91D. The findings revealed a small risk of surgical complications, with hyphema being the most frequent intraoperative complication in 12.7% (9/71) of patients. No major surgical complications were found.
Conclusion: MSICS using the Modified Ruit technique is a high-quality procedure that achieves excellent clinical outcomes with a low rate of complications.
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