Visual outcome after high volume XXXX surgery in Pakistan.

@entity1 @entity2516 @entity2790 @entity231
AIM: To determine the visual outcome and factors influencing visual outcome after @entity231 surgery in an urban charity hospital in Pakistan. METHODS: A series of selected outpatients were examined who had undergone @entity231 surgery in the preceding 24 months. RESULTS: 181 @entity1 aged 45-82 years were examined. The type of @entity231 operations they had had were extracapsular @entity231 extraction (ECCE) only in 50% (91), phacoemulsification (phaco) only in 11% (20), ECCE with @entity2790 ( @entity2790 ) in 17% (31), and phaco with @entity2790 in 22% (39). At presentation, 49.7% (90) had poor functional vision; after refraction 68% (123) had a good visual outcome. Functional vision in eyes undergoing ECCE with @entity2790 was good in 77% (22) and with phaco with @entity2790 in 71.8% (28). After refraction a higher proportion of eyes with @entity2790 surgery (93%) had a good outcome than those with non- @entity2790 surgery (53%). Uncorrected @entity2516 , present in 75.5% (68), was the commonest cause of poor functional vision. CONCLUSION: This study demonstrates that it is possible to obtain good results with @entity2790 surgery in the developing world. Increasing @entity231 surgery with @entity2790 implantation should reduce the number of eyes with poor functional vision after @entity231 surgery. More attention should be directed towards ensuring that successful outcomes are indeed being realised by continued visual monitoring postoperatively.
