Background: In India,Cataract is the leading cause of avoidable blindness.2 and cataract surgery
forms the major workload of most ophthalmic units in the country. An estimated 4 million people become
blind because of cataract every year,3 which is added to a backlog of 10 million operable cataracts in India, whereas only 5
million cataract surgeries are performed annually in the country.4 Thus, a technique of cataract surgery that is not only safe and
effective but also economical and easy for the majority of ophthalmologists. It is estimated that about 25% of poor outcomes of
cataract operations performed in developing countries annually are due to surgical complications.19 Minimizing intraoperative complications of cataract surgery is an important step towards eliminating visual impairment caused by such
complications.
Aim & Objective:1. To study intra-operative complications of manual small incision cataract surgery.
2. To study the visual outcome in patients of intra-operative complications following its management.
Methods: Prospective cross sectional study, Study setting: Ophthalmology Department of tertiary care centre
Study Duration: 2 years (October 2018 to December 2020).Study population: All patients with cataract requiring surgery
admitted in tertiary care center
Sample Size: 700
Results: Majority of study subjects belongs to age group 41 -40 years contributing 511 cases (73%) followed by age group 65
yrs and more 133 (19%),16-40 age group 35 (5%) and 15 years or less 21 (3%) respectively. males contributing 390 cases
(55.71%) followed by females 310 cases (44.29%).Male: Female ratio is 1.25: 1. preoperative visual acuity in operated eye is in
the range of < 3 /60 - Perception to light (PLPR) in majority of subjects contributing 497 cases (71%) followed by 161 cases (23%)
in between < 6/ 60 - 3 /60 group, 35 cases (5%) in < 6 /18 to 6 /60 group and 7 cases (1 %) in 6 /18 or better group respectively. most
common intraoperative complication was posterior capsular rent contributing 19 cases (2.71%) followed by iris prolapse 14
cases (2%), premature entry 10(1.43%), Descemet's membrane stripping 10 (1.43%), intraoperative hyphaema 8 (1.14%),
capsular extension in 7 cases(1%) Iridodialysis in 5 (0.71%) and zonular dialysis in 5(0.57%) respectively
Conclusions: Rate of complication was higher in hypermature type of cataract .There was no statistical signicant association
between age and intraoperative complications.
SAFETY AND BENEFIT OF SIMULTANEOUS BILATERAL CATARACT SURGERY IN TERTIARY CARE CENTRE