Outcomes after phacoemulsification surgery in eyes with white mature cataracts: Results from a Military Hospital in Western India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Background: The aim of this study was to assess the postoperative visual outcomes of phacoemulsification in patients with white mature cataract from a western Indian population who were operated in a military Hospital from Jan 2016 to Dec 2017. Methods: The study comprised of 58 eyes with unilateral white mature cataract that underwent cataract surgery by phacoemulsification. A detailed preoperative assessment including visual acuity, slit lamp examination, intraocular pressure measurement, keratometry, biometry for axial length measurement and B-scan ultrasonography was done for all the patients. Patients had phacoemulsification through a 2.8 mm superotemporal clear corneal incision. Intraoperative and postoperative complications, prevalence of corneal decompensation and post operative visual outcome one month after surgeries were analyzed. Results: A total of 58 eyes with unilateral white mature cataract were operated within the study period. The mean age of the 28 males (48.2%) and 30 females (51.7%) was 59.9 years (range 38-90 years). Continuous curvilinear capsulorhexis was achieved in 57 eyes (98.2%) and in the bag IOL was implanted in 57 eyes (98.2%). Zonular dialysis with nucleus drop occurred in one patient (1.7%). Post operatively thirty one eyes (53.44%) had central corneal edema on the first postoperative day. Epithelial and stromal edema resolved by 7 days in all the cases. At the end of 1 month, 52 eyes (89.2%) achieved a best corrected visual acuity (BCVA) of 6/9 to 6/6. Five eyes had a BCVA of 6/18 to 6/12. There was no case of corneal decompensation, endophthalmitis or toxic anterior segment syndrome in this study. Conclusion: Our study shows that white mature cataracts can be safely removed with current phacoemulsification techniques with excellent post operative visual results.
Authors and Affiliations
Dr B V Rao M. S D. N. B
Keywords
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- EP ID EP381885
- DOI 10.9790/0853-1709024649.
- Views 53
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