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EVALUATION OF OCULAR DEVIATIONS AND PTOSIS AFTER CATARACT SURGERY
K Shyam Sundar1, M Deshpande2, V S Gurunadh3
1Graded Specialist (Ophthalmology), Military Hospital, Jalandhar Cantt, Delhi.
Medical Journal, Armed Forces India
|August 5, 2017
Summary
This study investigated post-cataract surgery strabismus and ptosis, finding initial occurrences decreased significantly by 12 weeks. These findings offer insights into managing these common post-operative complications.
Area of Science:
- Ophthalmology
- Surgical Complications
- Neuro-ophthalmology
Background:
- Limited prospective research exists on post-cataract surgery strabismus.
- There is a notable lack of Indian literature on post-cataract surgery ptosis.
Purpose of the Study:
- To prospectively evaluate the incidence and recovery of strabismus and ptosis after cataract surgery.
- To identify potential causative factors for these post-operative ocular motility and eyelid position changes.
Main Methods:
- 150 patients underwent standard extracapsular cataract extraction with intraocular lens implantation.
- Patients were assessed for strabismus and ptosis at one week and twelve weeks post-operatively.
- Peribulbar anesthesia was administered using a 2-point technique.
Main Results:
- At one week post-surgery, 6.67% developed strabismus, 8.67% developed ptosis, and 3.33% had both.
- By twelve weeks, the incidence reduced to 2% for strabismus and 2% for ptosis.
- The study observed a significant recovery rate for both conditions within three months.
Conclusions:
- Post-cataract surgery strabismus and ptosis are transient in a majority of cases.
- Early detection and monitoring are crucial for managing these post-operative complications.
- Further research is warranted to fully elucidate causative factors and optimize management strategies.
