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Extracapsular cataract extraction in Nepal. 2-year outcome

We evaluated the 2-year outcome of extracapsular cataract surgery with posterior chamber intraocular lens insertion by a single fellowship-trained surgeon in Kathmandu, Nepal. Six hundred ten eyes were followed up for 2 years. Patients underwent manual irrigation and aspiration with the insertion of a modified J loop posterior chamber intraocular lens. Almost half of the patients had uncorrected visual acuities of 20/50 or better after surgery. Sight-threatening complications in seven eyes (1.2%) included retinal detachment, corneal decompensation, and endophthalmitis. Although this rate is comparable to that in developed countries, 21% of patients had posterior capsular opacification at follow-up. Extracapsular cataract surgery with intraocular lens insertion may be an alternative to intracapsular cataract surgery in developing nations, where aphakic spectacles are expensive, not easily obtainable, or difficult to replace.

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Publication Date
Dec 1, 1991

Authors
Sanduk Ruit,

Full Citation
Ruit S, Robin AL, Pokhrel RP, Sharma A, DeFaller J. Extracapsular cataract extraction in Nepal. 2-year outcome. Arch Ophthalmol. 1991;109(12):1761-1763. doi:10.1001/archopht.1991.01080120145045