Cataract; day care surgery

ABSTRACT

Cataract is the most age related eye disease in most countries. Day care cataract surgery has increase rapidly, largely because of new surgical techniques to evaluate visual acuity and complications in patients having extracapsular cataract extraction with intraocular lens implantation on day care basis. Prospective study. Setting: Department of Ophthalmology Independent University Hospital, Faisalabad. June 2009 to June 2012. Cataract patients who were operated on day care basis. During study period total 130 cases of senile cataract were operated on day care basis Their ages ranged from 38 years to 110 years with mean age of 70 years. Of these 130 cases 52 [40%] were males and 78 [60%] were females. During surgery routine extracapsuler cataract extraction with lens implantation was performed on all patients. Posterior capsular rent occurred in 6 [4.6%] cases during surgery. Posterior chamber IOL was implanted in 124 cases and anterior chamber IOL was implanted in 6 cases. Regarding post operative complications 4 [3.07%] cases reported with endophthalmitis.While 10 [7.6%] patients had striate keratopathy and 6 [4.6%] patients had residual lens matter. Iris prolapsed observed in 4 [4.6%] cases which was repositedon next day. Only 2 [1.5%] patients later on developed posterior capsular opacification.cystiod macular edema was noted in two patients [1.5%].Majority of patients [80.7%] regained useful vision of 6/36 or above on first post operative day. All patients were refracted after two months. After refraction the best corrected visual acuity of 6/6-6/12 was achieved in 80.7% of cases, 15.3% had visual acuity of 6/18- 6/36 and poor visual acuity of 6/60 or less was noted in only 3.8% patients. Day surgery is one of modality to treat age related cataract. This study show that clinical outcome is not effected by outpatient surgery and there was no any complication that could be attributed to day surgery. So day surgery should be done on priority basis especially by experts surgeons and in patients surgery should be done only in selected cases