Suhail Mushtaq, Naeem Munir.
Complications and Outcomes of Phacoemulsification in Cataract Surgery (A different experience in Saudi Arabia).
Ophthalmol Update Jan ;15(2):112-5.

Purpose: To assess the complications and outcomes of phacoemulsification cataract surgery in SaudiArabia.. Materials and Methods: This was prospective hospital based study conducted from August 2015 to August 2016 in King Saud Hospital Unaizah, Al-Qassim, Kingdom of Saudi Arabia. There were total 50 patients including 34(68%)males and 16(32%)females. The patients of cataract with mild to moderate lens density, without ocular adnexa disease and quiet eyes without uveitis were included. After taking the informed consent, complete ocular examination was performed. Trypan blue dye was used to stain the lens capsule . Basic salt solution(BSS)500ml with � injection of adrenaline 1:1000 was used during surgery. The stop and chop phaco technique was adopted. An acrylic single piece foldable monofocal lens was implanted into the capsular bag. Intra-operative and postoperative complications were recorded. Follow up period was scheduled for 2 months and final visual acuity was assessed. Results: The male to female ratio was 34(68%):16(32%) and the average was 58 years. The most common intraoperative complication was posterior capsule rupture, seen in 3(6%) patients. The most common postoperative complication was mild striate keratopathy, seen in 20(40%) cases. There was mild uveitis in 6(12%) cases. Posterior capsular opacification (PCO) was noticed in 5(10%) patients. 25(50%) patients achieved uncorrected vision 6/6 and in 19(35%)patients best corrected visual acuity(BCVA)was 6/6.There was only 1(2%)patient with BCVA 6/24. Conclusion: Phacoemulsification with foldable intra ocular lens(IOL) implant is a modern and preferred cataract surgery technique.

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