Kripa Joshi¹*, Sushma Duwal², Jamuna Gurung³, Yogita Rajbhandari⁴, Aye Myat Mon⁵ and Manish Poudel⁶

¹General Ophthalmologist, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal
²Vitreoretinal Surgeon, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal
³Lecturer, Gandaki Medical College, Pokhara, Nepal
⁴Refractive Surgeon, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal
⁵General Ophthalmologist, Mettashin Charity Hospital, Taunggyi, Myanmar
⁵Statistician, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal

*Corresponding Author: Kripa Joshi, General Ophthalmologist, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal.

Received: September 08, 2021; Published: September 25, 2021

Abstract

Objective: The aim of the study is to evaluate the visual outcome after cataract surgery at Bhaktapur eye centre.

Methodology: This was the retrospective study that included 161 eyes of 159 patients fulfilling the inclusion criteria who underwent cataract surgery either phacoemusification or manual small incision cataract surgery from September 2019 to November 2020 in Bhaktapur eye centre secondary level provided with permanent infrastructure to deliver outpatient and operation theatre services. The preoperative details, type of cataract surgery performed, intraoperative and postoperative complications and visual acuity at first day, first week and sixth to eighth postoperative week were retrieved.

Results: Maximum cases that underwent surgery were between 65 - 75 years followed by 75 - 85 years. The mean age was 67.7 ± 10.36 years and the male to female ratio was 0.51:1, 55 males and 106 females. 21.38% cases had associated comorbid diseases. Phacoemusification was performed in 67.8% and manual small-incision cataract surgery in 32.2%. At presentation, more than half that is 52.7% had best corrected visual acuity BCVA of less than 3/60. Intraoperative complications were found in 3.1% and corneal edema was the most common among postoperative complications. At 6 - 8 weeks follow up after surgery, 88.81% had BCVA 6/6-6/18, 9.93% had BCVA of 6/18-6/60.

Conclusion: This study showed that cataract surgery whether manual small incision cataract surgery or phacoemulsification offered good visual rehabilitation in maximum number of patients. Proper and timely management of complications and provision of refraction facility postoperatively would be a good way to improve visual outcome.

Keywords: Cataract Surgery; Visual Outcome; Complications

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Citation

Citation: Kripa Joshi., et al. “Visual Outcome after Cataract Surgery at Bhaktapur Eye Centre". Acta Scientific Ophthalmology 4.10 (2021): 29-33.

Copyright

Copyright: © 2021 Kripa Joshi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.