Authors : Suresh Ramanarao Addagarla
DOI : 10.18231/j.ijceo.2020.008
Volume : 6
Issue : 1
Year : 2020
Page No : 29-34
Introduction: An uneventful cataract surgery with intraocular lens implant is capable of providing normal
vision. Good visual outcome increases patient’s satisfaction and quality of life. Aim is to evaluate the
postoperative complications and visual outcomes after manual small incision cataract surgery at a teaching
hospital.
Materials and Methods: In this study 100 patients who underwent uneventful SICS with PCIOL implant
were followed up. Patients having pre-existing ocular disease were excluded. IOL power was accurately
estimated. Visual acuity, anterior segment and fundus findings were recorded at each postoperative visit
upto 6 weeks and in some cases upto 3months. We followed the visual outcome standards set by WHO.
Results: 53 males and 47 females in the age group of 45 to 75 and above were selected. On 1st post
operative day 38% patients had quiet eyes. In 62% patients, decreased vision and complications observed
on 1st post operative day and upto 1st week were: Striate keratopathy and corneal edema, anterior uveitis
with pupillary membrane, residual lens matter, macular edema, endophthalmitis, intraocular hemorrhage
with secondary glaucoma and IOL related causes. On the 6th postoperative week during spectacles
prescription, 60% had uncorrected Astigmatism, 5% consecutive myopia/ hypermetropia and 8% had
posterior capsular opacity. At 3 months follow up, 92% had good outcome, 3% patients had borderline
outcome. 5% poor visual outcome was seen in patients with Bullous keratopathy, endophthalmitis, vitreous
hemorrhage and longstanding macular edema.
Conclusion: Our hospital based study reports 5% patients with poor visual outcome 3 months after
uneventful cataract surgery.
Keywords: Astigmatism, Complications, Small incision cataract surgery, Uneventful, Visual outcome.