Manual phacoemulsification in Basrah : the first series from Iraq

Abstract EN

This prospective study includes 80 eyes of 78 patients with cataract, who had manual phacoemulsification operated upon by the same surgeon at Basrah Hospitals between Feb, 2006 and Jul, 2007.

They were 35 males and 43 females, 2 of them (females) have cataract in both eyes.

The age of patients range from 35-70 years, 23 eyes of 21 patients (28.7%) at age of between 35-45 years, 20 eyes (25%) at age of between 46-55 years, 27 eyes (33.7%) at age of between 56-65 years, 10 eyes (12.5%) at age ≤ 66 years.

The pre-operative visions for those patients were ranged from 6/24 to projection of light (PL), depend on the type and extent of cataract.

There was selected with no significant corneal astigmatism in all of these patients. Surgery was done on 21 eyes (26%) with posterior subcapsular cataract, 20 eyes (25%) with nuclear cataract, 30 eyes (38%) with mature cataract and 9 eyes (11%) with hypermature cataract.

On the first postoperative day, according to Oxford Cataract Treatment and Evaluation Team Grade (OCTET) classification the observation was: Grade 0 was reported in 46 eyes (58%), Grade I developed in 25 eyes (31%), Grade II developed in 8 eyes (10%), and Grade III developed in 1 eye (1%).

On the 7th postoperative day, 54 eyes (67.5%) had Uncorrected Visual Acuity (UCVA) of good outcome, 23 eyes (28.7%) had of borderline.

On day 40 postoperative, 75 eyes (93.7%) achieved a best corrected visual acuity (BCVA) of good outcome.

The final refractive states in 73 eyes (91.2%) was emmetropic or within (-1) diopteric sphere of the desired refractive target without a significant astigmatism.