Efficacy of Manual Small Incision Cataract Surgery at the Base Hospital at Tertiary Level in West Bengal
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 1
Abstract
Introduction: Cataract has been documented as a leading cause of blindness in India where vision <3/60 in the better eye on presentation is defined as blindness. Materials and Methods: A prospective observational study was conducted where consecutive cataract patients were recruited during a period of 1 year. Cataract surgeries were performed in uncomplicated cases after selection in screening camps by manual small incision cataract surgery technique with posterior chamber intraocular lens implantation. Postoperatively patients were treated with antibiotic-steroid eye drops for 6 weeks in tapering dose, homatropine 2% eye drops twice for 2 weeks, oral ciprofloxacin 500 bid for 5 days, and analgesic tablet with antacid for 3 days. All patients were followed up on 2nd post-operative day, 1 week, and at 6th week. Spectacles were prescribed at 6 weeks after retinoscopy. Results: Out of 228 patients, 99 (43.42%) patients were male, and 129 (56.57%) female; 162 (71.05%) were above the age of 60 years, 66 (28.94%) were between 40 and 60 years; 148 (64.91%) patients had senile immature cataract and 80 (35.08%) had senile mature cataract. Post-operative unaided visual acuity was 6/12 (Snellen’s chart) or better by 6th week in 176 (77.19%) cases. Best-corrected visual acuity of 6/12 to 6/9 and even better by the 6th week was found in 213 (93.42%) cases, and the remaining 15 (6.61%) cases had low vision ≤6/18. Conclusion: There was the good visual outcome in hospital based large volume cataract surgery with the average astigmatism of 2.00 D. This can be opted as the method of choice on large scale surgery in developing countries.
Authors and Affiliations
Mohammed Nazarul Islam
Keywords
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