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Intracapsular cataract extraction with anterior chamber intraocular lens implantation in a developing country
Abstract
Aim: To assess the visual outcome of cataract extraction with ACIOL implantation in a Nigerian hospital.
Methods: The visual outcome of 50 eyes of 42 patients aged 40 years and above, out of 212 eyes that underwent intracapsular cataract extraction (ICCE) and anterior chamber intraocular lens (ACIOL) implantation, were reviewed retrospectively. The follow-up period ranged from 3 months to 2 years. The operation was carried out with a loupe and standard IOL (multiflex open loop ACIOLs of 19.00 DS).
Result: Good visual outcome of 6/6 to 6/18 was recorded in 27 (54%) eyes and 6/24 to 6/60 was recorded in 14 (28%) eyes. Poor visual outcome of <6/60 was recorded in 9 (18%) eyes. The complications accounting for poor visual outcome in the 9 eyes were uveitis in 5 eyes and endophthalmitis, tilted IOL, pigment deposit on IOL and IOL decentration in one eye each.
Conclusion: ICCE with ACIOL, when well performed gives good visual outcome, and it should be preferred to spectacle correction of aphakia. However, in view of the advantages ECCE has over ICCE, ICCE should be replaced by ECCE. Where there are no facilities for PCIOL, ECCE can be performed with a surgical loupe and a secondary implant done later.
Nigerian Journal of Ophthalmology Vol. 14(1) 2006: 13-17
Methods: The visual outcome of 50 eyes of 42 patients aged 40 years and above, out of 212 eyes that underwent intracapsular cataract extraction (ICCE) and anterior chamber intraocular lens (ACIOL) implantation, were reviewed retrospectively. The follow-up period ranged from 3 months to 2 years. The operation was carried out with a loupe and standard IOL (multiflex open loop ACIOLs of 19.00 DS).
Result: Good visual outcome of 6/6 to 6/18 was recorded in 27 (54%) eyes and 6/24 to 6/60 was recorded in 14 (28%) eyes. Poor visual outcome of <6/60 was recorded in 9 (18%) eyes. The complications accounting for poor visual outcome in the 9 eyes were uveitis in 5 eyes and endophthalmitis, tilted IOL, pigment deposit on IOL and IOL decentration in one eye each.
Conclusion: ICCE with ACIOL, when well performed gives good visual outcome, and it should be preferred to spectacle correction of aphakia. However, in view of the advantages ECCE has over ICCE, ICCE should be replaced by ECCE. Where there are no facilities for PCIOL, ECCE can be performed with a surgical loupe and a secondary implant done later.
Nigerian Journal of Ophthalmology Vol. 14(1) 2006: 13-17
