Dr. RAKHI KUSUMESH

DR. ANJULA KUMARI, DR.NILESH MOHAN, DR. AMBASTA ANITA

Abstract

Purpose: To determine the long-term visual outcome of surgical management in one-eyed patients with cataract coexistent with corneal opacity. Methods: Retrospective case-control study reviewed 44 one-eyed patients with cataracts coexistent with corneal opacity. Patients who underwent cataract surgery alone (group A, n=25) were compared with a matched group of patients underwent the triple procedure (group B, n=19). Outcome measures were BCVA improvement and the period of ambulatory vision. Results: at each follow-up the mean BCVA was found significantly better than the preoperative vision (P<0.001). However, at the end of 3 years, mean BCVA of group A was better than group B (p=.012). Mean period of ambulatory vision in group A (33.36±1.97 months) was longer than in group B (26.5± 13.5 months) (P 0.048). Conclusion: Cataract surgery with IOL implantation alone can be considered as an alternative or temporary option to provide at least stable ambulatory vision in one-eyed patients.