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First Author: A.Abdul Hamid UK
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The United Kingdom has a diverse population as a result of population movements. Many individuals present with cataract and inability to speak English. Historically these patients would have their surgery under general anaesthesia. We examine the results of 120 consecutive cases of these patients undergoing topical phacoemulsification surgery with the presence of an interpreter in theatre.
North East London NHS Treatment Centre, Ilford, Essex. United Kingdom
All surgeries was performed by the Author under topical anaesthesia on patients who did not speak english. An interpreter was present in theatre to facilitate communications with patients. Topical anaesthesia was supplemented with intracameral anaesthesia and phacoemulsification surgery was performed with insertion of an injectable IOL through a 2.75mm incision.
All cases were completed successfully with no incidences of posterior capsule rupture. 92% of patients achieved uncorrected Visual acuities of 20/40 or better. Visual improvement was limited in many cases due corneal scarring secondary to childhood trachoma.
The use of an interpreter during topical cataract surgery allows safe and effective results without exposing often elderly patients to the risks of General Anaesthesia.