Mubashir Rehman, Asim Ali Shah, Mohammad Zeeshan Tahir, Imran Ahmad, Asif Iqbal.
Visual Outcome after Extra-Capsular Cataract Extraction with Intraocular Lens Implantation of Patients with Age Related Cataract.
Ophthalmol Update Jan ;12(4):286-9.

Objective: To determine the frequency of visual outcome of patients having extra-capsular cataract extraction with intraocular lens implantation of patients with age related cataract. Study design: Prospective, descriptive study. Place and duration of study: The study was conducted from April 2010 to October 2010 at Eye Department Lady Reading Hospital Peshawar. Patients and methods: All patients were selected on the basis of diagnostic criteria having age related cataract from outpatient department. All patients underwent extra-capsular cataract extraction with intraocular lens implantation surgery by a 4th year ophthalmology resident. After surgery patients were examined on 1st post-operative day. Follow up visits were on 10th day, one month and two months post-operatively. At each visit visual outcome was assessed as good, borderline or poor on the basis of visual acuity detected on Snellen?s visual acuity chart followed by refraction for best corrected visual acuity. Results: A total of 151 patients were studied in this study. Mean age was 43 years with standard deviation as ±12.3. Of 151 patients, n=68(45%) were males and n=83(55%) were females. The uncorrected post-operative visual acuity was 6/18 or better in n=74(49%), while 77(51%) patients had low vision (<6/18). However, the final corrected post-operative visual acuity was 6/18 or better in n=98(64%) of the patients, and in n=53(35%) patients it was found to be low (<6/18). 68 (45%) patients out of 151 cases were bilaterally blind, i.e pre-operative VA of less than 3/60 in the better eye. Of these, the final uncorrected post-operative visual acuity was 6/60 or better in n=56(37.3%), and the final corrected visual acuity was 6/60 or better in n=57(37.7%) of patients. Of the 50 patients who were blind pre-operatively, n=49(98%) reported some form of visual improvement. Twenty eight (63.6%) patients reported inability to work without assistance pre-operatively but only n=1(2.3%) needed assistance to work post-operatively. Conclusion: The visual outcome of the cataract surgical campaign was gratifying both from the patient?s and physician?s point of view. We recommend that future cataract surgical campaigns should consider extra-capsular cataract extraction with PC IOL insertion as their surgical procedure.

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