First Author: A.Paul UNITED KINGDOM
Co Author(s): S. Chaudhary
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Purpose:
To review the indications of referrals of post cataract surgery complications and associate them with intra-operative events, post-operative events and final visual outcome. Find ways to improve final visual outcomes.
Setting:
: Ophthalmology department of a Foundation Trust Hospital in the UK.
Methods:
Retrospective review of notes of seventy consecutive patients coded as postoperative complication after cataract surgery was done.
Patients age, pre-operative BCVA, diabetes status, ocular co-morbidities, type of anaesthesia, type of procedure done, intra-operative patient related difficulties, amount of phaco power used, intra-operative complications, post operative complications and final BCVA 2-3 months post operatively was recorded
Results:
Total 70 patients were identified. 38/70 had uncomplicated surgery and 19/70 had complicated surgery.
Group with complicated surgery had PC rent (6/19), zonular dehiscence (2/19), anterior capsular tear (3/19) and iris injury (5/19). 12/18 (67%) achieved final BCVA of 0.3 or better. Final BCVA of 1 patient was not available. Patients who did not achieve BCVA of 0.3 or more had ECCE (1), cornea guttatae (2), Fuch’s endothelial dystrophy (1), reverse pupillary block (1), PC rent with nuclear fragment in the vitreous cavity (1). 5/6 patients with PC rent had BCVA of 0.22 or better, 1/6 had BCVA of 0.32.
Group with uncomplicated cataract surgery had corneal edema 10/38, CMO 8/38, post –op uveitis 4/38, raised IOP 2/38, PCO 6/38, 8 patients were wrongly coded.
10/70 eyes developed CMO. 40% were diabetics and 40% had dry AMD. No correlation was found with the blood sugar levels at the time of operation and CMO. 90% achieved final BCVA of 0.3 or better.
15/70 eyes developed corneal edema.7/15 (47%) had associated co-morbidities. 8/15 (53%) achieved final BCVA of 0.3 or better.
Conclusions:
Most patients who had PC rent achieved good final BCVA. Association of poor visual outcome with corneal co-morbidities and association of CMO with diabetes and wet AMD was found.
Financial Disclosure:
No"
