[Visual outcomes and complications of phacoemulsification and intraocular lens implantation]

ABSTRACT

To evaluate the prevalence of concomitant systemic and ocular diseases in patients scheduled for phacoemulsification and intraocular lens implantation [PE+PC IOL] and post surgical visual outcomes and complications in 1253 cases. Medical records of all patients of a private clinic who underwent PE+PC IOL from 1999 to 2003 were reviewed. All operations were performed by as single surgeon [MAJ]. Among 1253 operated eyes, 95.9% had senile cataracts. Mean age was 61 years and mean follow up was 10 +/- 12.5 months. Incidence of systemic hypertension, diabetes mellitus [DM], ischemic heart disease, pseudoexfoliation syndrome [PXF], and glaucoma were 16%, 11.5%, 7.7%, 3.1%, and 2.7%, respectively. After the operation 71.9% and 90.4% of the eyes gained UCVA and BCVA of 20/40 or better, respectively. The most important intraoperative and postoperative complications were sterile uveitis [4.8%], vitreous loss [0.23%], endophthalmitis, CME, RD and, corneal decompensation each in one eye [0.08%]. Significant posterior capsule opacity requiring Nd YAG capsulotomy occurred in 5.8% of the eyes. PE+PC IOL is a safe and effective procedure in patients with cataract. Systemic hypertension and DM are important concomitant systemic disorders in this group of patients