Assesment of one-year follow up of patients with Ecce-pciol surgery at University of Ilorin teaching hospital, Kwara State, Nigeria

Abstract

Objectives:1. To assess the visual outcome and complications during a one-year follow-up period of all patients who had extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens PCIOL implant.2. To assess the average intraocular lens (IOL) power required to achieve emmetropia before the availability of the keratometer and A-Scan ultrasound machine in our centre. Materials and methods: All cases of ECCE-PCIOL done at the University of Ilorin Teaching Hospital, over a period of eighteen months (Jan 2001-July 2002) were included in the study. Visual acuity, ocular status and complications for each patient were assessed before the surgery and also at regular periods during the one-year follow-up.Results: A total of 105 patients (116 eyes) were operated. Eleven patients (9.4%) had bilateral surgery. The patients age range was 7-89 years with a mean of 64 years and a male to female ratio of 1:1.2. Sixty-six (57%) patients had right eye (RE) surgery, while 50 (43%) had left eye (LE) surgery; 98% of them had a preoperative visual acuity of 3/60. Only 54 patients (49%) showed up for this follow-up assessment. VA at one year: 78.7% had VA of 6/6-6/18, and 10.74% had VA of 6/24-3/60. About 10% [3] had become blind with VA Key words: cataract, outcome, Ecce-pciol, complications, one-year, follow-up Nigerian Journal of Ophthalmology Vol 12(2) 2004: 65-69