Abstract
BACKGROUND: Cataract is the leading cause of avoidable blindness in India. Around 4 million people become blind each year because of cataract. AIM: To assess the visual outcome and complications associated with cataract surgery in camp patients operated at a Medical College tertiary hospital. MATERIALS AND METHODS: It was a retrospective study where 412 camp patients underwent posterior chamber intraocular lens implantation surgery over a period of one year. Data was compiled based on demographic characteristics, and post-operative complications. It was graded as per Oxford Cataract Treatment and Evaluation Team (OCTET) definitions on first post-operative day. After one month post-operative complications, best corrected visual acuity and refractive errors were also analyzed. RESULTS: 412 eyes underwent cataract surgery with posterior chamber intraocular lens implantation .The maximum patients were in the age group of 60-69 years, 180 (43.6%) patients., Among these patients 240 were males (58.2 %) and 172 were females (41.7 %). Small incision cataract surgery (SICS) with intraocular lens implant was the commonest surgical method (80%) used. 792 eyes of 412 patients had cataract, of which 596 had the cortical type (75.3 %) and 196 had the nuclear type (24.7 %). Of the cortical type, 428 were immature and 168 were mature cataracts Based on OCTET grading, the most common first post-operative day complication was mild iridocyclitis (26.2%) followed by transient corneal edema in 86 patients. The major post- operative complications after 4 weeks of cataract surgery were pigments on PCIOL in 18 (4.36%) cases and capsular flap in 12 cases. After 4 weeks post-operative best corrected visual acuity of eye 6/18 in 89.8% cases. The commonest refractive error was Myopia with against the rule astigmatism seen in 172 out of 300 patients. CONCLUSION: Acceptable results can be obtained from eye camp surgery patients with experienced ophthalmologists in the base hospitals and these camps help in reducing huge burden of cataract patients. Our aim remains to reach more blind and needy patient
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