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Smart Sics

The study, led by Dr. Hemant Sonawane and a team from Aravind Eye Hospital, aims to analyze the visual and refractive outcomes of SMART SICS compared to conventional SICS over a 6-month period. The research focuses on improving unaided near vision while addressing challenges such as postoperative accommodation loss and the drawbacks of multifocal IOLs. The methodology involves evaluating 100 eyes (50 from each technique) based on specific inclusion and exclusion criteria, with the goal of demonstrating the benefits of the SMART SICS technique.

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Hemant Sonawane
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169 views11 pages

Smart Sics

The study, led by Dr. Hemant Sonawane and a team from Aravind Eye Hospital, aims to analyze the visual and refractive outcomes of SMART SICS compared to conventional SICS over a 6-month period. The research focuses on improving unaided near vision while addressing challenges such as postoperative accommodation loss and the drawbacks of multifocal IOLs. The methodology involves evaluating 100 eyes (50 from each technique) based on specific inclusion and exclusion criteria, with the goal of demonstrating the benefits of the SMART SICS technique.

Uploaded by

Hemant Sonawane
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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VISUAL OUTCOMES OF SMART SICS

Principal Investigator: (with designation)


• Dr. Hemant Sonawane,
Medical Consultant, Cataract & IOL Services, Aravind Eye Hospital, Madurai

Co-investigators (with designation)


• Dr. Zervin R. Baam,
Medical Consultant, Cataract & IOL Services, Aravind Eye Hospital, Madurai
• Dr. Madhu Shekhar,
Head of Department, Cataract & IOL Services, Aravind Eye Hospital, Madurai
• Dr. Shivkumar,
Medical Officer, Cataract & IOL Services, Aravind Eye Hospital, Tirunelveli
• Dr. Swati Singh,
Fellow, Cataract & IOL Services, Aravind Eye Hospital, Madurai
• Project Duration: 6 months

• Budget: Nil

• Major Objective: To analyze visual and refractive


outcome of SMART SICS in comparison to Conventional
SICS
Background
• Despite continuous advancements in modern cataract
surgery, correction of the postoperative loss of
accommodation remains a challenge.

• Various approaches to the correction of induced iatrogenic


presbyopia exist

1. Accommodating and multifocal iols


2. Pseudophakic monovision techniques achieved by monofocal
IOL implantation.
Background
• The ultimate target following cataract surgery remains spectacle
independence for near and distance activities without compromising the
patients' visual function and visual performance.

• Multifocal IOLs has given us good results for both near and distance
vision in terms of spectacle independence

• Multifocal IOLs are frequently associated with


1. Dysphotopsia,
2. Visual disturbances at night,
3. Halos, and glare, mainly due to changes in pupil diameter,
4. Costly which plays a significant role in developing country like India
SMART SICS

• A relatively newer technique called SMART SICS has been


recently proposed which has showed to improve patient
reported unaided near vision.

• The procedure of SMART SICS is similar to conventional SICS,


with one exception.

• The entry into the anterior chamber is a controlled one, while


monitoring the regularity of corneal mires reflected from the
anterior corneal surface using a hand-held keratoscope.
SMART SICS
• Our aim through this study is to analyze and
understand the hypothesis which is contributing to
the changes happening at corneal level.
Methodology

• 50 eyes conventional SICS and 50 eyes SMART SICS, which will


be evaluated on pre-op day; post-op 1 day; 1 month; 3months.

• Investigations to be done (BE):


Vision: unaided and best-corrected, for distance and near
A-scan (only during pre-op visit).
Itrace
Corneal topography
Methodology
Inclusion criteria :
• Age 40 – 70 years
• Immature cataract (< NS III )
• Axial length 21-24 mm
• Astigmatism < 1.5 D
Methodology
• Exclusion criteria:
corneal pathology/ectasia/opacity
posterior segment pathology
glaucoma /shallow AC
intraoperative complications
• Risk & benefits:
• no risk involved as procedure is similar to conventional
SICS. Benefits involve improved unaided near vision.

• Possible outcome: improved patient reported unaided


near vision

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