COMPARISON OF POST-OPERATIVE REFRACTIVE OUTCOME AFTER PHACOEMULSIFICATION AND EXTRA CAPSULAR CATARACT EXTRACTION

Abstract

OBJECTIVE: The objectives of the study was to identify the refractive outcome after phacoemulsification and extra capsular cataract extraction and to compare refractive outcomes after both surgeries. METHODOLOGY: A comparative cross-sectional study was conducted at department of the ophthalmology at Helper Eye Hospital Quetta for 3 months from October 2019 to December 2019. In the study, patients aged 40 to 60 years with both unilateral and bilateral senile cataracts and willing to participate were chosen. All patients were organized into two categories, Group A and Group B, respectively. Group A patients underwent a phacoemulsification surgical procedure (PHACO) and group B patients underwent extra capsular cataract Extraction. Surgeries were conducted by senior and expert surgeons with a minimum of 5 years of experience. The SPSS 23.0 version was used to analyze the results. RESULTS: Total 174 were enrolled and two separate treatment strategies were used; their mean age was 53.97 + 8.41 Group A years and 55.58 + 5.27 Group B years. Most patients obtained 77.0% of group A visual acuity UCVA (> 6/9) over three weeks, compared to 18.4% of group B, p-value 0.001. In Group A, BCVA (> 6/9) was also measured significantly higher by 88.5% relative to Group B, p-value 0.001. The six-week visual acuity evaluation of UCVA and BCVA (> 6/9) was obtained in almost all Group A cases, relative to Group B, with a p-value of 0.001. CONCLUSION: Patients those underwent PHACO had shown significant best final visual outcome on day one, three week and six weeks as compared to ECCE.

Keywords

• key words: cataract, refractive outcome, phaco, ecce