Home Print this page Email this page
Users Online: 68


 
 Table of Contents  
LETTER TO EDITOR
Year : 2015  |  Volume : 7  |  Issue : 1  |  Page : 25

Causes of poor visual outcome of extracapsular cataract extraction with posterior chamber lens implantation


1 Eye Clinic, University Clinic Centar, Tuzla, Bosnia and Herzegovina
2 Eye Clinic, University Clinic Centar Tuzla, Bosnia and Herzegovina
3 Medical Faculty, University of Tuzla, Tuzla, Bosnia and Herzegovina

Date of Web Publication17-Jun-2015

Correspondence Address:
Amra Nadarevic Vodencarevic
Krecanska Broj 15A/43, 75000 Tuzla
Bosnia and Herzegovina
Login to access the Email id

DOI: 10.4103/1858-540X.158996

Rights and Permissions
How to cite this article:
Vodencarevic AN, Terzić S, Terzić A. Causes of poor visual outcome of extracapsular cataract extraction with posterior chamber lens implantation. Sudanese J Ophthalmol 2015;7:25

How to cite this URL:
Vodencarevic AN, Terzić S, Terzić A. Causes of poor visual outcome of extracapsular cataract extraction with posterior chamber lens implantation. Sudanese J Ophthalmol [serial online] 2015 [cited 2020 Nov 27];7:25. Available from: https://www.sjopthal.net/text.asp?2015/7/1/25/158996

Sir,

The article "Causes of poor visual outcome of extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens (IOL) implantation" by Ibraheim et al. [1] is very interesting. This study highlights the causes of poor visual outcome of ECCE in Alwalidain Charity Eye Hospital, but we must highlight that the authors of this study have not mention about the number of surgeons involved in performing cataract surgery and as well their experience. We believe that the experience of the surgeon could also have an impact on the poor visual outcome.

The authors failed to explain what the visual acuity of the patients before ECCE was. Furthermore, authors failed to explain whether they perform B-scan to every patient before surgery. This way they could evident if there are changes in the posterior part of the eye and in case of retinal detachment, the surgery of cataract is unnecessary. Retinal detachment occurs in 0.5-2% of the eyes following ECCE, but it is also believed to occur in a smaller percentage of eyes following phacoemulsification. [2],[3]

Furthermore, we must say that it would be much interesting if the authors compared poor visual outcome in diabetic and nondiabetic patients. It is known cystoid macular edema in diabetic patients after ECCE with IOL implantation is a frequent problem. [4]

However, authors have done great job. Performing surgery in developing countries has been always same sort of adventure. Surgeons from developing countries have to do a lot of work with the insufficient amount of money. We all know that phacoemulsification has been the method of choice for cataract extraction in developed countries, but also phacoemulsification is much more dependent on technology than ECCE and of course it cost more. We truly hope that soon the costs of phacoemulsification will become cheaper and that patients from developing countries would have the same treatment. That way we could have less complications and as well better results of visual acuity.

 
  References Top

1.
Ibraheim KA, Hashim K, Alsaraj M. Causes of poor visual outcome of extracapsular cataract extraction with posterior chamber intraocular lens implantation. Sudanese J Ophthalmol 2014;6:54-6.  Back to cited text no. 1
  Medknow Journal  
2.
Boberg-Ans G, Henning V, Villumsen J, la Cour M. Longterm incidence of rhegmatogenous retinal detachment and survival in a defined population undergoing standardized phacoemulsification surgery. Acta Ophthalmol Scand 2006;84:613-8.  Back to cited text no. 2
    
3.
Norregaard JC, Thoning H, Andersen TF, Bernth Petersen P, Javitt JC, Anderson GF. Risk of retinal detachment following cataract extraction: Results from the International Cataract Surgery Outcomes Study. Br J Ophthalmol 1996;80:689-93.  Back to cited text no. 3
    
4.
Menchini U, Bandello F, Brancato R, Camesaca FI, Galdini M. Cystoid macular oedema after extracapsular cataract extraction and intraocular lens implantation in diabetic patients without retinopathy. Br J Ophthalmol 1993;77:208-211.  Back to cited text no. 4
    




 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
References

 Article Access Statistics
    Viewed1454    
    Printed77    
    Emailed0    
    PDF Downloaded171    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]