OUTCOME OF SUTURELESS MANUAL EXTRA CAPSULAR CATARACT EXTRACTION
AbstractBackground: Cataract surgery is constantly evolving. Purpose of this study was two folds: toestimate visual outcome and evaluate safety and efficacy of sutureless manual extra-capsular cataractextraction. Methods: This was a prospective, interventional case series, using sutureless manualextra capsular cataract surgery technique from June 2004 to January 2007 at Khyber Institute ofOphthalmic Medical Sciences, Hayatabad Medical Complex Peshawar. Patients included in thestudy were those having operable cataracts. All those having corneal co-morbidities extensiveenough to block visualisation of posterior segment details, chronic adenexal diseases, long standingglaucoma, advanced diabetic eye disease and retinal detachment evident on B-Scan ultrasonographywere excluded from the study. After thorough examination and investigation all the patients wereoperated upon by a single experienced surgeon using the same technique. Their visual outcome wasanalysed. The patients were followed for a period of six weeks. Results: A total of 1500 cataractsurgeries were carried out, of which 1211 (80.74%) patients completed six weeks of follow up.Seven hundred and fifty seven (62.51%) had an uncorrected good visual acuity (6/6–6/18) on 1stpost-op day, 1131 patients (93.40%) had an uncorrected visual acuity of 6/6–6/18 on 6th week followup. Mean surgically induced astigmatism at 6 weeks was 0.3 dioptres. Conclusion: Suturelessmanual extra capsular cataract surgery is a safe and effective technique. It offers faster woundhealing and quick rehabilitation of cataract patients at any level of community eye care setting.Keywords: Sutureless cataract extraction, visual outcome, astigmatism.
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