Visual Outcome of Cataract Surgery Complications Repair at a Cataract Training Centre of Western Central India

Abstract

Introduction: Cataract is a major cause of blindness, but it can be eliminated by surgical management. The visual outcome depends upon the competency of the surgeon, and quality training can contribute to the creation of such skilled surgeons. Methods: This is a retrospective study in which we enrolled all the cataract cases operated between 2004 and 2018, any complication and its repair reported in pretested online form, and all documented post-operative data. All these data were exported to excel sheet from EMR and analysed using SPSS22. Results: Our cohort involved 2998(2.49%) cases out of 120,000 total cataract operated cases. Out of complications documented for45.5% did not require surgical intervention, 30% eyes required secondary implant and remaining cases required other surgeries. Intervention medical and surgical has made significant difference in visual outcome. (p=0.002) 43.9% complications reported during stage of cortical clean up. Primary surgery and trainee categories did not cause significant differences in the visual outcome. Conclusion: Cataract surgeries done by trainee surgeons caused complications at various stages. However, interventions by vitreo-retinal surgeons led to a significant difference in the final visual outcome.