1. Results of corrective surgery: secondary lens implantation at a cataract surgery training centre
Mehul Shah,shreya shah, adway appalware,pramod upadhyay, ashish gupta, abhilash singh rajput

2. Introduction objective Global Cataract Blindness
Cataract Blindness in India
Strategies to combat cataract blindness
Training Human Resources
Cataract Training centers
objective
To investigate the outcome of secondary intraocular lens implantation,
to compare final visual outcome between different categories of surgeon and categories of Cataract
to evaluate care provided by teaching hospital to patients with capsular complications.

3. Material and Methods Results
Design Inclusion Categorization of Trainee Categorization of Cataract Surgical technique Statistical Analysis\
Results
Our cohort consisted of 359 eyes 231(64.3%) males and 128(35.7) females with mean age 60.2+/-10.2 range 88
Surgical intervention made significant difference in final visual outcome. (p=0.000) and category of trainee causing complication had significant difference for final visual outcome. (p=0.021)

4. Table-1 Age and Sex distribution
Total F M
0 TO 20 2 5 7
21 TO 40 1 4
41 TO 60 88
119
207
61 TO 80 37 99
136
61 TO 100
128
231
359
Table- 2 Comparison of visual acuity before and after surgical treatment.
Post operative vision
Pre operative vision
Total
<1/60
1/60 TO 3/60
6/60 TO 6/36
6/24 TO 6/18 8 3 11 13 20 1 45 21 56 28
106
6/12 TO 6/9 14 51 31 96
6/6 TO 6/5 6 50 44
101 62
180
114
359
P=0.000

5. Table-3 Visual Outcome with different lens positions.
POST OP VISUAL ACUITY
Lens Position AC
SULCUS
Total
<1/60 2 9 11
1/60 TO 3/60 4 41 45
6/24 TO 6/18 21 85
106
6/12 TO 6/9 10 86 96
6/6 TO 6/5 16
101 53
306
359
Table-4 Primary surgery and Final visual outcome
P=0.021
Visual Outcome
Primary Surgery
Total
NOT KNOWN
PKE
SICS
<1/60 11
1/60 TO 3/60 2 6 37 45
6/24 TO 6/18 26 80
106
6/12 TO 6/9 3 31 62 96
6/6 TO 6/5 1 69
101 94
259
359
P=0.021

6. Table-5 Visual outcome compared according trainee category
Total
<500
>1000
NOT KNOWN
<1/60 5 4 2 11
1/60 TO 3/60 26 8 3 45
6/24 TO 6/18 54 32 17
106
6/12 TO 6/9 52 19 96
6/6 TO 6/5 50 22 7
101
187 85 66 21
359

7. Table-6 Visual outcome compared according to cataract category
Vision Category
Cataract category
Total 1 2 3
NOT KNOWN
<1/60 4 5 11
1/60 TO 3/60 28 13 45
6/24 TO 6/18 72 20
106
6/12 TO 6/9 67 10 8 96
6/6 TO 6/5 81 7 6
111
252 31 55 21
359
P=0.000

8. Table- 7 Comparative study between secondary IOL done following Nucleus Drop and Posterior capsule rupture
CATEGORY
Total
NUCLEUS DROP
OTHER
<1/60 1 10 11
1/60 TO 3/60 4 41 45
6/24 TO 6/18 5
101
106
6/12 TO 6/9 3 93 96
6/6 TO 6/5 97 17
342
359
P-0.68

9. Lens position, Nucleus drop, did not make significant difference.
Conclusions
Surgical intervention has a significant effect on postoperative visual acuity.
Trainee surgeon category , Cataract category , Primary Surgery made significant effect on final visual acuity
Lens position, Nucleus drop, did not make significant difference.

10. Thank you