Indian Journal of Clinical and Experimental Ophthalmology
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2395-1443
Online ISSN: 2395-1451
CODEN : IJCEKF
Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...Original Article
Author Details :
Volume : 1, Issue : 3, Year : 2015
Article Page : 168-174
Abstract
Aim: To analyze the visual outcomes and the intra and postoperative complications of manual small incision cataract surgery (MSICS) in patients with Pseudo exfoliation (PXF).
Materials and Methods: The study included 76 eyes of 76 patients of the rural population in India with cataract and PXF who underwent MSICS surgery. The effect of the parameters like the dilatation of pupil during surgery, nuclear grading at baseline was studied with respect to the final visual outcomes and intra operative and postoperative complications of cataract surgery. The best corrected visual acuity (BCVA) at 4 weeks and 6 weeks after surgery were reported.
Results: The mean age of the patients was 64.9 years and there were 44 males and 32 females. The BCVA ranging from 6/6 to 6/9 was seen in 44 (58.1%) eyes at 4 weeks and 46 (60.6%) eyes at 6 weeks. The visual outcomes were lower in patients with higher nuclear sclerosis (NS) of grade IV-V, poor pupil size (?6 mm) compared to patients with NS I-III and good pupil size (>6 mm). Iris prolapsed 8 (10.9%) and posterior capsular rent 7 (9.2%) intra operatively and corneal edema 34 (44.7%) postoperatively that subsided within 1-2 days were the most commonly reported complications.
Conclusion: MSICS technique in cataract patients with PXF is cost effective and is associated with good visual outcomes. Early diagnosis, proper preoperative and postoperative planning, knowledge and surgical skills of handling the possible complications can increase the success rate of cataract surgery in patients with PXF.
Keywords: Best corrected visual acuity (BCVA), Nuclear grading, Pupil size, Pseudo exfoliation
How to cite : Madhavi C, Latha Y S, Pyaraka D, Kumar M A, A Study on the Visual Outcomes and Complications of Cataract Surgery in the Rural Population of Indian Patients with Pseudo exfoliation. Indian J Clin Exp Ophthalmol 2015;1(3):168-174
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