A Clinical Study Of Post ? Operative Complications Of Cataract Surgery At A Rural Hospital

ABSTRACT Purpose: To study the post?operative complications encountered with cataract extraction in rural hospital, to know the incidence of various complications and to know how best the complications can be minimized and how successfully these complications can be treated.. Methods: A proforma will be filled for each patient selected randomly which will include Personal details of the patient, Details of surgery, Details of discharge, Details of complications observed on 1st post- operative day and on 1stfollow-up at 7 days(1st week) and on 2ndfollow-up at 40days.(6 weeks). From a period of January 1st 2011 to October 31st 2012.the research and the statistics will be carried out on the data in the month of November 2012. Results: This study has been undertaken to find out the incidence of postoperative complications of cataract surgery in 3034 patients in a rural hospital. Complications seen on the first postoperative day were 359 (11.83%). Striate keratopathy was the most common complication seen in 198 cases (6.53%). Residual Cortex was the second most common complication noted postoperatively with incidence of 1.62%. In our study hyphema was present in 1.35% cases. Corneal edema was seen in 1.12% in our study .Early postoperative uveitis was noted in 1.02% of cases. Iris prolapse was seen in 0.13%. Shallow anterior chamber was noted in 0.07%, at the end of first week i.e. the 7th postoperative day, 0.69% patients had persistent iritis. Corneal edema was present in 0.30% of patients. Iris prolapse was present in 0.20% We encountered only 1 (0.03%) patient with endophthalmitis (IPD no. 177918). At 6 weeks postoperative, IOL malposition was noted in 0.49% patients. Loose sutures were noted in 0.13% cases.Cystoid macular edema was seen in 0.13%. Postoperative reactivation of herpes was seen in 2 patients.1 case each of bullous keratopathy and iris incarceration were also noted in the study. Posterior capsular opacification was noted in 308 (10.15%) patients. Conclusion : The post-operative complications noted were less compared to the percentage of complications reported elsewhere. Hence a rural hospital with screening camps with proper care of the patients post-operatively would prove helpful in eradicating treatable blindness and a good post-operative care would help in faster recovery of patient’s visual acuity.