OUTCOMES OF PSEUDOPHAKIA SURGERY: AN EVALUATION OF EARLY AND LATE POSTOPERATIVE COMPLICATIONS.

http://doi.org/10.46536/jpumhs/2023/13.03.446

Abstract

OBJECTIVE: To evaluate the outcomes of intraocular lens implantation in terms of early and late

postoperative complications. MATERIAL AND METHODS: This retrospective study was conducted at

the Department of Ophthalmology, Liaquat University of Medical and Health Sciences, Jamshoro. Patients

who had undergone pseudophakia intraocular lens implantation and for whom comprehensive preoperative,

intraoperative, and postoperative medical records were studied. On the first postoperative day, cases were

examined using a slit lamp, and relevant findings were documented for each case. In most instances, patients

were discharged on the first postoperative day after measuring visual acuity and conducting slit lamp

examinations of the cornea, anterior chamber, iris, intraocular implant, anterior vitreous, and assessing

suture and wound condition. Follow-up examinations included measurements of visual acuity, refraction,

slit lamp examinations, ophthalmoscopy, and tonometry. The patients were given dark glasses for 2 weeks

post operatively and after 6 weeks correcting spectacles were prescribed. SPSS version 21 was used for the

purpose of data entry and analysis. RESULTS: There were 59.0% males and female patients were 40.0%

of the total implant patients, with overall mean age of 49.23+24.33 years. Majority of patients had unilateral

cataract 81.0%. As per the retrospective various complications, retrobulbar hemorrhage was found 31.5%.

Concerning intraoperative complications, capsular rupture was occurred in 7 patients, zonular breaks

occurred in I case. Early postoperative complications included striate keratopathy 5.5%, fibrinous reactions

3.5%, pupillary block glaucoma 0.5%, endophthalmitis 0.5%, and panophthalmitis was 1.5%. Late

postoperative complications included pupillary capture 5.5%, followed by corneal decompensation and

cystoid macular edema 0.5%. Peripheral opacification was 1.5%, central mild opacification 1.0%, central

moderate opacification 0.5% and central severe opacification 0.5%. CONCLUSION: Intraocular lens

implantation is the most suitable procedure for visual rehabilitation in patients who have undergone cataract

extraction. The overall outcomes of its implantation are generally favorable, with a few notable early and

late postoperative complications.