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2006, Number 4

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Rev Fac Med UNAM 2006; 49 (4)

Evaluation of cataract surgery in a Regional Hospital

López HE, Sánchez RE, García GJL, Reyes GU
Full text How to cite this article

Language: Spanish
References: 6
Page: 142-145
PDF size: 69.88 Kb.


Key words:

Cataract, surgical complications, visual function.

ABSTRACT

In this study 53 cataract surgeries were done and reviewed in the period January 2001 – March 2002 in the Military Regional Hospital of Tampico, by extracapsular extraction technique, with the objective to evaluate the efficacy of the surgical treatment.
53% of the cases belong to the female sex, the age ranged between 60-74 years old in 57%; the left eye predominated with 53%; 17% had surgical complications, 2% were transoperative and 15% postoperative, intraocular hypertension being the most frequent in the immediate postoperative period: 23% of the patients presented intraocular pressure higher than 20 mm Hg in the preoperative exam, the 100% presented less than 20 mmHg in the late postoperative. Residual refraction was less than ± 2.50-4.00 in 91% of the cases. Posterior chamber intraocular lens were implanted in 98%; 55% presented visual function worse than 20/200 in the preoperative and 92% had visual function better than 20/40 in the postop. It is concluded that the index of complications is similar to literature reports, that the postoperative visual function is better, therefore surgical management done is effective.


REFERENCES

  1. Tierney L, McPhee S. Catarata. Diagnóstico clínico y tratamiento. Edición 36, México; Manual Moderno. 2001: 203-4.

  2. Boyd BF. Atlas de Cirugía Ocular. World Atlas Series, Edición en español, Panamá: Highlights of Ophthalmology International, 1996; 2: 4-178 (vol II).

  3. Del Angel CC, Vargas MP. Perfil epidemiológico de pacientes intervenidos quirúrgicamente de catarata en el centro estatal de oftalmología de Guerrero. Rev Mex Oftalmol. 2000; 74(6): 277-80.

  4. Koch DD, Liu FJ, Glasser BD, Merin LM, Haft E. A comparison of corneal endothelial changes after use of healon or viscoat during phacoemulsification. Am J Ophthalmol 1993; 115(2): 188-201.

  5. Fraumfelder F, Hampton F. Endophthalmitis. Current Ocular Therapy. 3 th Edition, USA: W.B Saunders Company, 1990:533-7.

  6. Brady MK, Afkinson SC, Kilty AL, Hiles AD. Cataract surgery and intraocular lens implantation in children. Am J Ophthalmol 1995; 120(1): 1-8.




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Rev Fac Med UNAM . 2006;49