Phacoemulsification Surgeries at Indus Medical College Hospital (Study of 100 Cases)
Journal Title: Journal of Indus Medical College - Year 2018, Vol 1, Issue 1
Abstract
Purpose: To evaluate the outcome of phacoemulsification surgeries at Department of Ophthalmology, Indus Medical College Hospital, TMK Pakistan. Materials and Methods: 100 eyes of 87 patients were included in this study that was conducted from 1st January 2017 to 30th November 2018. 74 patients were male whereas 13 were female. 40 right eyes, 34 left eyes while 13 patients were undergone bilateral phaco surgeries within 7 to 16 days.1 patient was in age group C, another 1 was in group D, 16 were in group E, 33 were in group F and remaining 36 were in group G. 41 were suffering from diabetes, 33 were hypertensive, 3 were with cardiac problems using pace maker and 1 was involved with HCV infection. Patients suffering from ocular diseases: open angle glaucoma 5, pseudoexfoliation 6, pigment dispersion syndrome 2, chronic iritis 3, Cholesterolosis bulbi 2, asteroid hyalosis 1, age related macular degeneration 3. All were dilated with mydriacyl/phenylephrine eye drops, local anesthesia as retrobulbar as well as facial block (von lint technique) were given using 2% xylocaine injection without adrenaline. 2.8 mm incision, capsulorhexis with bent 27 gauge needle, followed by hydrodissection and in some hydrodelineation with small caliber irrigation cannula, copious 2% methylcellulose used to save endothelial cells as well as to maintain anterior chamber, all 4 steps of phaco followed with divide and conquer method and finally injectable IOL implanted. Every operation ended with subconjunctival injection of dexamethasone 2mg plus gentamicin 20mg. Results: 59 eyes gained 20/20 visual acquity on first post-operative day, 23 eyes gained 20/40, 10 gained 20/60 which over a period of five days improved to 20/20 after using topical prednisolone 1mg along with moxifloxacin eye drops, 5 gained 20/80 corrected with glasses, 3 were having 20/100 because of macular diseases. Conclusion: In my experience phacoemulsification is an excellent technique which saves time, gives early rehabilitation depending upon the patience, experience and skill of surgeons.
Authors and Affiliations
Nisar Ahmed Khan, Aftab Ahmed Khan, Jawed Memon, Sobia Khan
Keywords
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