Bilateral Cataract Surgery In Tropical Country : Visual Outcomes And Complications

To evaluate the visual outcome, post-operative complications and safety of Simultaneous Bilateral Cataract Extraction in Tropical Country.

Single surgeon series in a private practice setting in Mumbai, India

This retrospective case review comprised 250 random patients (500 eyes ) who had simultaneous bilateral
cataract surgery.

Surgeries included bilateral simultaneous Microincision phacoemulsification with foldable monofocal /monofocal EDOF/
multifocal intraocular lens implantation.

Outcome measures were postoperative best spectacle-corrected visual acuity (BSCVA), intraoperative and
postoperative complication rates

91.89 percent of patients achieved an UCVA acuity of 6/9 or better on post-operative day one.

The remaining 8.1 percent of patients had BCVA 6/12 on post-operative day one.
All eyes had BCVA of 6/9 or better by end of 1 month.

One eye of one patient had mild iritis when post-operative steroids were tapered and stopped, same eye responded well
on second three week cycle of low dose steroid.

Intraoperative complication rates were similar to those in previous reports of unilateral cataract surgery and simultaneous
bilateral cataract surgery.

No cases of Endophthalmitis or toxic anterior segment syndrome occurred in all 148 eyes.
There were no bilateral complications that resulted in visual loss.

Simultaneous bilateral cataract surgery did not lead to an increased incidence of serious intraoperative or
postoperative complications, and visual acuity results were good.

Confidence in the results of bilateral simultaneous cataract surgery has gradually increased over the years with encouraging results, as evidenced by higher numbers every subsequent year.

Use of intracameral moxifloxacin is perhaps advisable when doing bilateral simultaneous cataract surgery to reduce the risk of endophthalmitis, though we did not see any cases in our limited experience.