Posters

Visual outcome of difficult cataract surgeries in a tertiary care centre in India

Poster Details

First Author: N. Bhuta INDIA

Co Author(s): R. Pande   S. Mohod Harne                 

Abstract Details

Purpose:

To determine the percentage of difficult cataracts out of total cataracts admitted in a tertiary care centre, to study the intraoperative and post-operative complications in patients with difficult cataracts undergoing cataract surgery and determining their visual outcomes.

Setting:

Sassoon General Hositals And B.J. Medical Government College, Pune,India

Methods:

This is a retrospective non comparative single institutional observational study. A total of, 5766 patients participated in the study. Out of these, 1858 patients with difficult cataracts (according to inclusion criteria) were subjected to detailed ocular evaluation. These patients underwent Manual Small Incision Cataract Surgery and were followed up on the first, seventh and 40th post-operative day. These cases were monitored for post-operative visual acuity and complications .The postoperative complications were graded according to OCTET (Oxford Cataract Treatment and Evaluation Team) definitions and analyzed.

Results:

Out of 5766 patients, 1858 (32.2%) patients presented with difficult cataracts. Hyper mature and mature cataracts (24.9%), hard cataracts (20.02%) and pseudoexfoliation (33.04%) were the major causes. 820 (44.1%) patients presented with no complications postoperatively. According to OCTET grading, 44.9% patients had GRADE I complications, 9.5 % had GRADE II , 1.83% had GRADE III complications. The commonest postoperative complication was corneal edema (39.2%).21.9% had V/A < 6/60 on postoperative day 1, which reduced to 5.27 % on day 40(p<0.001). The patients with V/A> 6/18 increased from 44.1% on Day 1 to 61.8 % on Day 40(p<0.001).

Conclusions:

Difficult cataracts form a large share of cataract surgeries in developing countries like India .These patients need meticulous preoperative evaluation along with good surgical skills, for their management

Financial Disclosure:

None