Abstract

Phacoemulsification sx in patients who are unable to lie down flat(kyphosis, CNS abnormality. etc),the supine position may not be an option. We assess the outcome of phaco with IOL Implantation in a Sitting position- Hospital-based Prospective study-6 months.the patient is seated upright 90deg on a chair with the head kept on the wall-surgeon's chair faces the patient-phaco done by the same surgeon-analyzed in 27 patients. Male>female, statistics of bp, pulse,spo2, IOP show no statistically significant changes-stable vitals during the surgery. BCVA-significant improvement in POD1,30,60,90 days,88% patients with 6/6.on avg LE sX took 9.8mins, CDE energy of 9.6&RE took 11.4mins&17.4 respectively. Sx time in MC>IMC by 3 mins & twice the phaco energy for MC than IMC.proved to keep general condition stable during surgery,very less visual complications. It might be the only option for some patients & only a study with 90deg sx is conducted on patients who cannot lie down supine for phaco sx.

Full Text