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. 2000 Aug;84(8):848–851. doi: 10.1136/bjo.84.8.848

Audit of outcome of an extracapsular cataract extraction and posterior chamber intraocular lens training course

M Alhassan 1, F Kyari 1, I Achi 1, C Ozemela 1, A Abiose 1
PMCID: PMC1723578  PMID: 10906089

Abstract

BACKGROUND—A training course for cataract surgery with intraocular lens implantation was organised in April 1997 at the National Eye Centre, Kaduna, Nigeria. Operations were performed by six Nigerian consultant ophthalmologists under the supervision of two surgeons from Aravind Eye Hospital, India.
METHODS—A total of 175 eyes with uncomplicated cataracts were operated on after careful selection. All but six patients had extracapsular cataract extraction with posterior chamber intraocular lens insertion during the training programme.
RESULTS—The mean age of the patients at operation was 54.2 years. One hundred and forty five of the operated eyes (85.8%) were blind before surgery of which six (3.6%) remained blind postoperatively. An uncorrected visual acuity of 6/60 or better was achieved in 87.3% eyes after surgery. Forty one patients (24.3%) were blind before surgery, two of whom (1.2%) remained blind afterwards. The most common intraoperative complication was posterior capsular rent which occurred in 10 eyes (5.7%); striate keratopathy/corneal oedema and cortical remnant were the most common immediate postoperative complications, occurring in 44.6% and 8.0%, respectively.
CONCLUSION—With adequate surgical skills, extracapsular cataract extraction with posterior chamber intraocular lens implantation offers good visual rehabilitation even under training conditions.



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Figure 1  .

Figure 1  

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Intraoperative complications.

Figure 2  .

Figure 2  

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Immediate postoperative complications.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Argento C., Nuñez E., Wainsztein R. Incidence of postoperative posterior capsular opacification with types of senile cataracts. J Cataract Refract Surg. 1992 Nov;18(6):586–588. doi: 10.1016/s0886-3350(13)80448-8. [DOI] [PubMed] [Google Scholar]
  2. Cook N. J. Evaluation of high volume extracapsular cataract extraction with posterior chamber lens implantation in Sierra Leone, west Africa. Br J Ophthalmol. 1996 Aug;80(8):698–701. doi: 10.1136/bjo.80.8.698. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Egbert P. R., Buchanan M. Results of extracapsular cataract surgery and intraocular lens implantation in Ghana. Arch Ophthalmol. 1991 Dec;109(12):1764–1768. doi: 10.1001/archopht.1991.01080120148046. [DOI] [PubMed] [Google Scholar]
  4. Lumme P., Laatikainen L. T. Risk factors for intraoperative and early postoperative complications in extracapsular cataract surgery. Eur J Ophthalmol. 1994 Jul-Sep;4(3):151–158. doi: 10.1177/112067219400400304. [DOI] [PubMed] [Google Scholar]
  5. Natchiar G., Robin A. L., Nalgirkar A. R., Krishnadas R. Posterior capsule tears during extracapsular cataract surgery in India. Arch Ophthalmol. 1993 May;111(5):706–708. doi: 10.1001/archopht.1993.01090050140045. [DOI] [PubMed] [Google Scholar]
  6. Welsh N. H. Extracapsular cataract extraction with and without intra-ocular lenses in black patients. S Afr Med J. 1992 Apr 4;81(7):357–360. [PubMed] [Google Scholar]
  7. Yorston D. Are intraocular lenses the solution to cataract blindness in Africa? Br J Ophthalmol. 1998 May;82(5):469–471. doi: 10.1136/bjo.82.5.469. [DOI] [PMC free article] [PubMed] [Google Scholar]

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