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Extracapsular cataract extraction in Nepal. 2-year outcome.
S Ruit1, A L Robin, R P Pokhrel
1Nepal Eye Hospital, Kathmandu.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|December 1, 1991
Summary
Extracapsular cataract surgery with intraocular lens implantation in Nepal yielded good visual outcomes for many patients. While sight-threatening complications were low, posterior capsular opacification occurred in 21%.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Global Health
Background:
- Cataract surgery is a common procedure worldwide.
- Developing nations face challenges with access to and cost of aphakic correction.
- Extracapsular cataract surgery (ECCE) with intraocular lens (IOL) insertion is a viable alternative.
Purpose of the Study:
- To evaluate the 2-year outcomes of ECCE with posterior chamber IOL insertion.
- To assess visual acuity and complication rates in a Nepalese population.
- To determine the feasibility of this surgical approach in resource-limited settings.
Main Methods:
- Prospective evaluation of 610 eyes undergoing ECCE with modified J loop IOL.
- Manual irrigation and aspiration technique used.
- Follow-up for 2 years to assess visual outcomes and complications.
Main Results:
- Nearly 50% of patients achieved uncorrected visual acuity of 20/50 or better.
- Sight-threatening complications occurred in 1.2% of eyes (retinal detachment, corneal decompensation, endophthalmitis).
- Posterior capsular opacification (PCO) was observed in 21% of patients at follow-up.
Conclusions:
- ECCE with PC-IOL insertion provides favorable visual outcomes and low rates of severe complications in Nepal.
- The complication rate is comparable to that in developed countries.
- This surgical approach is a cost-effective alternative to aphakic spectacles in developing nations.