Sudanese Journal of Ophthalmology

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


Amra Nadarevic Vodencarevic1, Svjetlana Terzić2, Amar Terzić3,  
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

Correspondence Address:
Amra Nadarevic Vodencarevic
Krecanska Broj 15A/43, 75000 Tuzla
Bosnia and Herzegovina




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;7:25-25


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 2021 Jan 19 ];7:25-25
Available from: https://www.sjopthal.net/text.asp?2015/7/1/25/158996


Full Text

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

1Ibraheim 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.
2Boberg-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.
3Norregaard 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.
4Menchini 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.