Observation on the efficacy and characteristic of 203 cataract patients in Brightness Action, Morocco

Abstract

Objective To observe the clinical efficacy and characteristic of 203 cataract patients in Brightness Action, Morocco. Methods Total 203 eyes of 203 cases of cataract underwent phacoemulsification combined with intraocular lens implantation by Chinese-Africa Action Expert Group in Morocco from Oct.8th, 2016 to Oct. 10th.The postoperative visual acuity, characteristic of lens opacity and complications were analyzed. Results The patients were followed up for 1-3 months. One week after operation, the visual acuity was <0.05 in 7 eyes (3.4%), 0.05-0.25 in 30 eyes (14.8%), 0.3-0.5 in 123 eyes (60.1%), ≥0.6 in 43 eyes (21.2%). The rate out of blindness was 96.55%.During operation pseudoexfoliation syndrome occurred in 29 eyes and among them 16 eyes received radiate scissors of the sphincter of pupil.Posterior capsular rupture occurred in 6 cases, among them 2 cases received anterior vitrectomy combined with implantation of three piece IOL, 1 case changed to extracapsular surgery without IOL implantation. Four cases of high myopia were operated without IOL implantation due to lens degree insufficiency .One case with iris prolapse caused by high intraocular pressure was continued normal operation after 5 minutes. The postoperative complications included varying degrees of corneal edema 1 day after operation in 46 eyes, poor closure of incision and leakage of aqueous humor in 1 eye, high intraocular pressure in 1 eye, residual cortex in 2 eyes, surviving anterior vitreous body in 2 eyes, vitreous traction pupil in 1 eye, 1 eye of nasal minor vitreous hemorrhage and 1 eye of anterior uveitis. Three months after operation, no endophthalmitis, bullous keratopathy or secondary glaucoma happened. Conclusion The phacoemulsification combined with intraocular lens implantation in Brightness Action, Morocco can achieve good postoperative results, safe and reliable. Key words: Cataract; Phacoemulsification; Brightness Action, Morocco