Phacoemulsification in a Rural Camp Setting: A Feasibility Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Introduction- Generally, the method of choice for high volume cataract surgery in a camp setting is the Manual Small Incision Cataract Surgery. We assessed the feasibility of Phacoemulsification surgery for cataract patients identified in a rural camp.Methods- The present study was designed as a retrospective review of the hospital records of patients who underwent phacoemulsification in a rural camp. The surgery was performed by a single expert Phacoemulsification surgeon using foldable acrylic lenses.The details on various demographic and outcome related variables were collected. Descriptive statistics was used to analyze the data. Results-A total of 146 eligible patients were included in this study. Nearly 82.2% (120/146) had grade 2 nuclear sclerosis, followed by grade 3 (14/146, 9.6%), grade 1 (6/146, 4.1%) and only posterior subcapsular cataract (6/146, 4.1%). Intra-operatively, posterior capsular rupture was observed in 2/146 (1.4%) of the eyes. Postoperatively, 84 eyes had no complications whereas 56/62 (90.3%) had variable grades of corneal edema, 4/62 (6.5%) both corneal edema and anterior chamber reaction and 2/62 (3.2%) had onlyanterior chamber reaction. On the post-operative day 42, more than 90% patients achieved best corrected visual acuity of 6/9 or better. Conclusion- We noticed that phacoemulsification has low rate of intra-operative complications and very good visual outcome in the long run. Also, the procedure is feasible in a rural camp setting in the hands of expert Phacoemulsification surgeons.
Authors and Affiliations
Suraj Bhagde, Jugal Shah, Ranjeet Wagle
Keywords
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- EP ID EP444185
- DOI 10.9790/0853-1801130307.
- Views 70
- Downloads 0
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