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Post Operative Complications of Cataract Surgery Seen Over a 5-Year Period [Jan. 1998 – Dec. 2002]


F B Akinsola
M B Hassan
A A Majekodunmi
A O Adefule-Ositelu
A O Onakoya
O T Anibaba

Abstract



Objective: To determine the commonest post-operative complications of cataract surgery seen at LUTH over a 5year period.
Methodology: All case notes and operation notes of patients who have had cataract surgery over a period of 5years [Jan'98-Dec'02] were retrospectively studied and analyzed.
Results: A total of 272 eyes in 254 patients were operated. The commonest procedure was Extracapsular Cataract Extraction with Posterior Chamber implant [ECCE + PC IOL] in 67.3% of eyes while the least procedure was secondary lens implant [Posterior chamber and anterior chamber implant] in 1.5% of eyes each. The commonest post-operative complications was found to be wound gape with uveal prolapse [43.5% of total complications] while the least post-operative complication is corneal decompensation [4.3% of total complications].
Conclusion: It is recommended that proper attention be paid to wound closure during surgery while adequate training in suturing should also be ensured. The use of figure-of-8 interlocking sutures if employed would also go a long way in reducing this common complication.


NQJHM Vol. 14 (1) 2004: pp. 56-60

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eISSN: 0189-2657