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¹Beyoğlu Göz Eğitim ve Araştırma Hastanesi, İstanbul, Uzm. Dr.
²Beyoğlu Göz Eğitim ve Araştırma Hastanesi Klinik Şef Yard., İstanbul, Uzm. Dr.
³Beyoğlu Göz Eğitim ve Araştırma Hastanesi Klinik Şefi, İstanbul, Prof. Dr. Purpose: To evaluate the outcomes of mature cataract cases in difficult condition.
Materials and Methods: 254 eyes of 254 consecutive patient were operated. Phacoemulsification was used in 42 of them, extra capsular surgery in 202 eyes and intra capsular cataract surgery in 10 eyes.
Results: Mean age was 62.7 years (range 29-83 year). Cataract was mature in 35 patients, hypermature in 126 patients, brunescant in 83 patients and posterior capsular just in 4 patients. Lens subluxation was seen in 6 patients. Glaoucoma was found concomitant with cataract in 2 patients. In 72 of the cases nephelions were observed in various levels involving also central cornea. Vitreous was prolaps in the anterior chamber in 2 patients who were operated by phacoemulsification and in 16 patients in whom extra capsular operation was performed. An expulsive hemorrhage has occurred in 1 patient who in extra capsular operation group. There was no intraocular lens (IOL) placement in 4 patients, anterior chamber lens was placed in 15 patients and posterior chamber lens in 235 patients. In 1 month follow up endopthalmy was not diagnosed. Uncorrected vision has improved in all cases except 3.
Discussion: Cataract operation is considered in underdeveloped rural areas only when it was severely diminished visual acuity. Therefore this type of cataract surgery becomes more challenging. Consequently, the methods of operation shifts from phacoemulsification to extra or intra capsular surgery.
Conclusion: The good results and patient satisfaction have suggested that these type of aid organizations should be done more often. Keywords : Mature cataract, Niger