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A Study of Outcome of Cataract Surgery in Patients with Pre-operative Ocular Co-morbidities

Received: 22 November 2022    Accepted: 14 December 2022    Published: 28 December 2022
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Abstract

Purpose - To determine pattern of ocular co – morbidities & their influence on post operative visual outcome in patients subjected to cataract surgery. Method - Study was observational & prospective. Patients having cataract with local co-morbidities were subjected to MSICS, after detailed ocular examination and investigations. Necessary intra – op modifications pertaining to ocular co-morbidities were done. Patients were followed up on 1st, 7th & 30th Post op days and BCVA was recorded. Results – 42 eyes of 42 patients were included in study. 59.52% of the subjects were male and 40.47% were females. ARMD was the most common co – morbidity (28.5%), followed by Pseudo-exfoliation (23.80%). 11.9% of the patients had Diabetic retinopathy (DR), 9.52% of the patients had glaucoma and CNVM. 9.52% patients were found to have RD. Corneal disease was present in 7.14% of patients. 4.76% of patients had pterygium. There was improvement in BCVA post operatively in patients having ARMD, PXF, DR & Pterygium. But in patients with Corneal disease, Glaucoma, RD and CNVM, the improvement in BCVA was less evident. Presence of ocular co- morbidities pre operatively in patients subjected to MSICS has adverse effect on post operative outcome of the surgery. Conclusion - Identification of pre existing ocular co – morbidities in patients undergoing cataract surgery by necessary investigations in order to control the co – morbidities and to customise surgical plan, will help in improving outcome of cataract surgery along with quality of life in patients.

Published in International Journal of Ophthalmology & Visual Science (Volume 7, Issue 4)
DOI 10.11648/j.ijovs.20220704.16
Page(s) 131-136
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Age Related Macular Degeneration (ARMD), Psuedoexfoliation (PXF), CNVM (Choroidal Neovascular Membrane), Topography, Specular Microscopy, Best Corrected Visual Acuity (BCVA), Retinal Detachment (RD)

References
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[3] Lundström M, Brege KG, Florén I, Lundh B, Stenevi U, Thorburn W. Cataract surgery and quality of life in patients with age related macular degeneration. Br J Ophthalmol. 2002 Dec; 86 (12): 1330-5. doi: 10.1136/bjo.86.12.1330. PMID: 12446358; PMCID: PMC1771417.
[4] Riley AF, Malik TY, Grupcheva CN, Fisk MJ, Craig JP, McGhee CN. The Auckland cataract study: co-morbidity, surgical techniques, and clinical outcomes in a public hospital service. Br J Ophthalmol. 2002 Feb; 86 (2): 185-90. doi: 10.1136/bjo.86.2.185. PMID: 11815345; PMCID: PMC1770992.
[5] Murray NL, Murray TN. The burden of ocular comorbidity in cataract patients in West Africa. Br J Ophthalmol. 2009 Jan; 93 (1): 124-5. doi: 10.1136/bjo.2008.149450. PMID: 19098048.
[6] Arthur D K, Kalaiselvi G, Co-morbidities among cataract surgery patients in a tertiary hospital of south India. Indian J Clin Exp Ophthalmol 2019; 5 (1): 58-60.
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[11] Patel Mitali G, Darshankumar K Mahyavanshi, Sunil Nayak, Aayushi Patel, Brijal Patel, Harsh Darji. Pattern of ocular morbidity in patients attending ophthalmic OPD at tertiary care hospital, Valsad, Gujarat. International Journal Of Community Medicine And Public Health, [S.l.], v. 5, n. 2, p. 569-573, jan. 2018. ISSN 2394-6040. Available at: https://www.ijcmph.com/index.php/ijcmph/article/view/2078. Date accessed: 27 july 2022. doi:http://dx.doi.org/10.18203/2394-6040.ijcmph20180230
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    Ajit Kamalakar Joshi, Medha Manur Bindu. (2022). A Study of Outcome of Cataract Surgery in Patients with Pre-operative Ocular Co-morbidities. International Journal of Ophthalmology & Visual Science, 7(4), 131-136. https://doi.org/10.11648/j.ijovs.20220704.16

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    ACS Style

    Ajit Kamalakar Joshi; Medha Manur Bindu. A Study of Outcome of Cataract Surgery in Patients with Pre-operative Ocular Co-morbidities. Int. J. Ophthalmol. Vis. Sci. 2022, 7(4), 131-136. doi: 10.11648/j.ijovs.20220704.16

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    AMA Style

    Ajit Kamalakar Joshi, Medha Manur Bindu. A Study of Outcome of Cataract Surgery in Patients with Pre-operative Ocular Co-morbidities. Int J Ophthalmol Vis Sci. 2022;7(4):131-136. doi: 10.11648/j.ijovs.20220704.16

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  • @article{10.11648/j.ijovs.20220704.16,
      author = {Ajit Kamalakar Joshi and Medha Manur Bindu},
      title = {A Study of Outcome of Cataract Surgery in Patients with Pre-operative Ocular Co-morbidities},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {7},
      number = {4},
      pages = {131-136},
      doi = {10.11648/j.ijovs.20220704.16},
      url = {https://doi.org/10.11648/j.ijovs.20220704.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20220704.16},
      abstract = {Purpose - To determine pattern of ocular co – morbidities & their influence on post operative visual outcome in patients subjected to cataract surgery. Method - Study was observational & prospective. Patients having cataract with local co-morbidities were subjected to MSICS, after detailed ocular examination and investigations. Necessary intra – op modifications pertaining to ocular co-morbidities were done. Patients were followed up on 1st, 7th & 30th Post op days and BCVA was recorded. Results – 42 eyes of 42 patients were included in study. 59.52% of the subjects were male and 40.47% were females. ARMD was the most common co – morbidity (28.5%), followed by Pseudo-exfoliation (23.80%). 11.9% of the patients had Diabetic retinopathy (DR), 9.52% of the patients had glaucoma and CNVM. 9.52% patients were found to have RD. Corneal disease was present in 7.14% of patients. 4.76% of patients had pterygium. There was improvement in BCVA post operatively in patients having ARMD, PXF, DR & Pterygium. But in patients with Corneal disease, Glaucoma, RD and CNVM, the improvement in BCVA was less evident. Presence of ocular co- morbidities pre operatively in patients subjected to MSICS has adverse effect on post operative outcome of the surgery. Conclusion - Identification of pre existing ocular co – morbidities in patients undergoing cataract surgery by necessary investigations in order to control the co – morbidities and to customise surgical plan, will help in improving outcome of cataract surgery along with quality of life in patients.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - A Study of Outcome of Cataract Surgery in Patients with Pre-operative Ocular Co-morbidities
    AU  - Ajit Kamalakar Joshi
    AU  - Medha Manur Bindu
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    N1  - https://doi.org/10.11648/j.ijovs.20220704.16
    DO  - 10.11648/j.ijovs.20220704.16
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
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    EP  - 136
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20220704.16
    AB  - Purpose - To determine pattern of ocular co – morbidities & their influence on post operative visual outcome in patients subjected to cataract surgery. Method - Study was observational & prospective. Patients having cataract with local co-morbidities were subjected to MSICS, after detailed ocular examination and investigations. Necessary intra – op modifications pertaining to ocular co-morbidities were done. Patients were followed up on 1st, 7th & 30th Post op days and BCVA was recorded. Results – 42 eyes of 42 patients were included in study. 59.52% of the subjects were male and 40.47% were females. ARMD was the most common co – morbidity (28.5%), followed by Pseudo-exfoliation (23.80%). 11.9% of the patients had Diabetic retinopathy (DR), 9.52% of the patients had glaucoma and CNVM. 9.52% patients were found to have RD. Corneal disease was present in 7.14% of patients. 4.76% of patients had pterygium. There was improvement in BCVA post operatively in patients having ARMD, PXF, DR & Pterygium. But in patients with Corneal disease, Glaucoma, RD and CNVM, the improvement in BCVA was less evident. Presence of ocular co- morbidities pre operatively in patients subjected to MSICS has adverse effect on post operative outcome of the surgery. Conclusion - Identification of pre existing ocular co – morbidities in patients undergoing cataract surgery by necessary investigations in order to control the co – morbidities and to customise surgical plan, will help in improving outcome of cataract surgery along with quality of life in patients.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Department of Ophthalmology, Bharati Vidyapeeth (Deemed to be) University Medical College & Hospital, Sangli, India

  • Department of Ophthalmology, Bharati Vidyapeeth (Deemed to be) University Medical College & Hospital, Sangli, India

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