INCIDENCE OF POSTERIOR CAPSULAR OPACITY AFTER SMALL INCISION CATARACT SURGERY IN AGE RELATED CATARACT & THE RISK FACTORS ASSOCIATED WITH IT

Dr. Pawan Mahat; Prof. Dr. Poonam Lavaju; Prof Dr. Badri Prasad Badhu; Dr. Sharad Gupta; Dr. Vinitkumar S Kamble; Sushma Chaudhary

Volume : IX, Issue : VIII, August - 2020

INCIDENCE OF POSTERIOR CAPSULAR OPACITY AFTER SMALL INCISION CATARACT SURGERY IN AGE RELATED CATARACT & THE RISK FACTORS ASSOCIATED WITH IT

Dr. Pawan Mahat, Prof. Dr. Poonam Lavaju, Prof Dr. Badri Prasad Badhu, Dr. Sharad Gupta, Dr. Vinitkumar S Kamble, Sushma Chaudhary

Abstract :

Background : Posterior capsular opacification (PCO) is one of the most common late complications of extracapsular cataract extraction. PCO is an important factor for the ocular morbidity after cataract surgery. It is the major cause of decreased vision after cataract surgery. Posterior capsular opacification is even more threatening in young adults and children, with a higher incidence, quicker onset and greater amblyogenic effect. Studies have showed that the incidence rate of PCO varies between 3%– 50% within 5 years of operation . Associations : for the development of PCO like diabetes, myopic eyes, history of uveitis, glaucoma, patients with myotonic dystrophy and retinitis pigmentosa etc. Material & Methods: It is prospective observational cohort study . Period of the study was one year. Patients were informed in their native language and informed consent was taken . Results : A total 125 eyes of 119 patients were enrolled . The mean age was 67.05 years . 61 cases were male and 64 female having male to female ratio 0.953. The 91 cases out of 125 in which hydrodelination was done and 34 cases were hydrodelination not done. 81 cases in which continuous curvilinear capsulorrhexis (ccc) done and 44 cases envelope or linear capsulotomy was done. 37 cases out of 125 shows presence of PCO after six months of cararact surgery. 88 cases show absence of PCO after six months of cataract surgery. 38 cases (p value –0.241) show systemic disease like diabetis with PCO and 49 cases out of 125 shows hypertention (p value –0.161) Conclusion : Continuous curvilinear capsulorrhexis and hydrodelineation were associated with decrease in PCO formation.