Abstract
Objective: To manage post-op refractive surprises in patients undergoing cataract surgery
Study design: It was a Descriptive hospital-based study.
Place and duration of study: The study was conducted at The Department of Ophthalmology, Eye OPD, Holy Family Hospital, Rawalpindi from April to September 2023.
Material and Methods: 100 patients were studied for the research purpose. Detailed examinations were performed including slit lamp examination, visual acuity, refraction and fundoscopy.
Results: Out of 100 patients, 23 were fully corrected by using spectacles, and 15 had no refractive error. Out of 100 patients with post-op refractive surprises presented in the refraction room, myopia was seen as the most common post-op refractive surprise. As per data 82 out of 100 patients had myopia. Whereas hyperopia came out to be 18 patients. Out of 100 patients, 46% were fully corrected by using spectacles.
Conclusion: Post-op refractive surprises presented in eye OPD, Holy Family Hospital have positive relation with both myopia and hyperopia. Myopia is the most common refractive surprise presenting mostly in females. 46% out of all cases were fully corrected using spectacles only following cataract surgery with IOL implantation.
References
Day AC, Baio G, Gazzard G, Bunce C, Azuara-Blanco A, Munoz B, Friedman DS, Foster PJ. The prevalence of primary angle closure glaucoma in European derived populations: a systematic review. British Journal of Ophthalmology. 2012 Sep 1;96(9):1162-7.
Abraham AG, Condon NG. The new epidemiology of cataract. Ophthalmology Clinics of North America. 2006 Dec 1;19(4):415-25.
Robman L, Taylor H. External factors in the development of cataract. Eye. 2005 Oct;19(10):1074-82.
Delbarre M, Froussart-Maille F. Signs, symptoms, and clinical forms of cataract in adults. Journal Francais D'ophtalmologie. 2020 Jun 22;43(7):653-9.
Zhang W, Li H. Lens opacity detection for serious posterior subcapsular cataract. Medical & biological engineering & computing. 2017 May;55:769-79.
Hou M, Bao X, Liu L, Ding Y, Luo F, Wu M. Retinitis pigmentosa-associated anterior subcapsular cataract: morphological features and visual performance. International Ophthalmology. 2021 Nov;41:3631-9.
Lam D, Rao SK, Ratra V, Liu Y, Mitchell P, King J, Tassignon MJ, Jonas J, Pang CP, Chang DF. Cataract. Nature reviews Disease primers. 2015 Jun 11;1(1):1-5.
Wormstone IM, Wang L, Liu CS. Posterior capsule opacification. Exp Eye Res. 2009 Feb;88(2):257-69.
Tabin G, Chen M, Espandar L. Cataract surgery for the developing world. Current opinion in ophthalmology. 2008 Jan 1;19(1):55-9.
Matthew J. Hawker, Simon N. Madge, Paul A. Baddeley, Stephen R. Perry, Refractive expectations of patients having cataract surgery, Journal of Cataract & Refractive Surgery,Volume 31, Issue 10,2005.
Aristodemou P, Sparrow JM, Kaye S. Evaluating refractive outcomes after cataract surgery. Ophthalmology. 2019 Jan 1;126(1):13-8.
Huang J, Rajanala A, Tsukikawa M, Bojikian KD, Chen PP, Chen A. Increased Post-Cataract Surgery Refractive Surprise in Glaucoma Patients. Investigative Ophthalmology & Visual Science. 2022 Jun 1;63(7):3504-.
Wormstone IM, Wang L, Liu CS. Posterior capsule opacification. Exp Eye Res. 2009 Feb;88(2):257-69.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2024 Journal of Nursing and Allied Health