A Clinical Study of Complicated Cataract in Uveitis among the Patients Attending O.P.D. in a Tertiary Care Hospital in Assam

Objectives: To study the morphological types of various complicated cataracts following uveitis along with evaluation of visual outcome and ocular complications following cataract surgery among the patients attending O. P. D. of Assam Medical College & Hospital, Dibrugarh, Assam. Materials & Methods: A prospective hospital based study conducted on 35 patientsof complicated cataract secondary to uveitis. Selected cases underwent complete ophthalmic examination, grading of cataract and followed by cataract surgery. After surgery post-operativevisual acuity and additional findings were noted and compared accordingly. Results: Out of 35 cases, 16 cases were male (45.71 %), 19 cases were female (54.29 %). The peak incidence of uveitic cataract was in age group of 31 40 years, 13 cases (37.14 %). The most common morphological type of complicated cataract was posterior sub capsular type (18 cases, 51.43 %). There was significant improvement in visual acuity after cataract surgery and were statistically significant (P less than0.05). Among all the various early complications, recurrence of uveitis was commonly seen in 11 cases (31.43 %), whereas pigments over the IOL surface was seen as most common late postoperative complication in 11 cases (31.43 %), followed by Posterior capsular opacification. Conclusion: A thorough history and meticulous preoperative work up of patients are of paramount importance not only to plan the surgery but also to avoid any complications later. Least tissue handling, particularly of the iris should be tried in every step of the surgery. Thus, with careful patient selection, appropriate pre-operative preparation, diligent surgery and close post-operative supervision, the visual outcome in these cases are satisfactory.