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Cataract
Ocular Surface Disease

Visual outcome and postop complications of cataract surgery in patients with OSD

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Cataract surgery outcome can be visually rewarding in patients with ocular surface disorders (OSD) provided ocular surface integrity is adequately maintained preoperatively and postoperatively, according to researchers of a recent retrospective observational study.

The study from a North India tertiary eye care center included 20 men and 24 women with various ocular surface disorders with stabilized ocular surfaces who underwent cataract surgery and had a minimum postop follow-up of 6 weeks. The primary outcome measures were post-operative best corrected visual acuity (BCVA) at 6 weeks, best BCVA and postoperative complications.

A total of 55 eyes were evaluated including 35 eyes with Steven-Johnson syndrome (SJS), 4 eyes with ocular cicatricial pemphigoid (OCP), 8 eyes with dry eye disease (DED), 6 eyes with chemical injury and 2 eyes with vernal keratoconjunctivitis (VKC). The mean duration of ocular surface disorder was 33.9 months. The median preoperative BCVA was 2.0. The median BCVA ever achieved was 0.50 at 2 months and the median BCVA at 6 weeks was 0.6. Maximum improvement in BCVA was observed in patients with DED and SJS and the least in OCP. Phacoemulsification was performed in 47.27% eyes with intraoperative complications noted in 9% eyes. Postoperative surface complications occurred in 12 (21.82%) eyes, while other postop complications occurred in 9 (16%) eyes.

Reference
Aggarwal M, Gour A, Gupta N, Singh A, Sangwan V. Visual outcome and postoperative complications of cataract surgery in patients with ocular surface disorders. J Cataract Refract Surg. Published online January 16, 2024. doi:10.1097/j.jcrs.0000000000001396

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