Operative and immediate post-operative complications of cataract extraction

ABSTRACT

Study of two hundred and forty four cases of cataract surgery. The rate of operative and immediate post operative complications were 66 cases [27.04%]. The study revealed that 182 cases [75.20%] of operations have been done for senile cataract with 44 complicated cases [24.17%] while developmental cataract operations were preformed in J4 cases [5.78%] with 10 complicated cases [71.42%]. For complicated cataract 46 cases [19.00%] operations were performed and the rate of complications were highest in cataract operations complicating iridocyclitis 4 from 12 cases [33.33%], then in cataract complicating myopia 4 cases frome 20 cases [20%] and lastly cataract operations comlicating diabetes 2 cases from 14 cases [14.28%]. As regard methods of extractions of cataractous lens, linear extractions technique were used in 10 cases [4.13%] and the complicated cases were 8 cases [80.00%], scoop method were used in 6 cases [2.47%] with 4 complicated cases [66.66%], extraction with non toothed capsule forceps were used in 22 cases [9.09%] with 8 cases [36.36%] complicated operations, cryoextraction were used in 200 cases [82.64%] and 44 cases [22%] complicated cases, and lastly aspiration technique were used in 4 cases [1.65%] with no complications. The most common types of complications were vitreous loss 42 cases [17.21%] striate keratitis 30 cases [12.29%], rupture of lens capsule 12 cases [4.91%], after cataract 8 cases [3.27%], Shallow anterior chamber 8 cases [3.27%], and lastly 2 cases of retro-bulber haemorrhage [0.81%]. No case of endophthalmits, expulsive haemorrhage, post operative iris prolapse were happened during the study