Abstract
BACKGROUND: Due to its self-sealing suture-less incision, manually operated small-incision cataract surgery (MSICS) seems to be a glimmer of hope for addressing the cataract crisis in underdeveloped nations. AIM: This study has been conducted to compare the outcomes of post-operative surgically induced astigmism between inverted V (chevron) incision and frown incision for MSICS. MATERIALS AND METHODS: 100 patients with uncomplicated senile cataracts were enrolled in this prospective cross-sectional study. Patients received the Frown and the Inverted V "Chevron" incisions, respectively, after being randomly assigned to groups A and B. RESULTS: The incidence of patients with no surgically induced astigmatism (SIA) was greater in the inverted V incision. 20 (52.63%) and 19 (45.23%) patients reported SIA (0-1) in the frown group and the inverted V incision group, respectively. CONCLUSION: Successful outcomes were obtained in patients who underwent MSICS using either a frown incision or an inverted incision. Our study added to the existing body of information that an inverted V incision causes less medically induced astigmatism than a frown incision.