Journal of AdvancedMedical and Dental Sciences Research

Aim: A comparison of the astigmatic results and the integrity of the incisions made during phacoemulsification surgery using a temporal clear corneal incision and a superior scleral incision is the goal of this research. Methods: This was a prospective research that was carried out at the Ophthalmology Department. This research comprised a total of 120 different patients. The preoperative assessment included of a complete examination of the anterior segment using a slit lamp examination, as well as an examination of the posterior segment using 90D. Visual acuity, intraocular pressure, and sac syringing were also performed. Keratometry was performed both before and after surgery using automated keratometry. Axial length was measured using a contact 'A' scan unit, and the power of the intraocular lens (IOL) was determined using the SRK II formula. Results: Comparison of surgically induced astigmatism (SIA) between two groups, and it demonstrates that there is a statistically significant difference between both groups on every postoperative day. On all postoperative days and comparing the two groups, we saw a substantial difference in the kind of astigmatism that patients had. According to the findings of our research, the SIA in temporal clear corneal on the first post-operative day was 1.14± 0.60, 1.18± 0.50, 0.99± 0.42, 0.93± 0.44, and 0.92 ±0.46. These values were found to be significantly different from each other. For patients in the superior scleral group, the SIA on post-operative days 1, 7, 45, 90, and 180 was respectively 0.93±0.49, 0.93±0.40, 0.81±0.33, 0.78±0.30, and 0.79±0.30. Conclusion: The study came to the conclusion that there is a statistically significant post operative shift to WTR astigmatism in temporal clear corneal incision as opposed to ATR astigmatism in superior scleral incision. Because most elderly patients have preoperative ATR astigmatism, it is best to plan temporal incision because of this.