Sequential Bilateral Cataract Surgery in Srilanka

1. KeembiyageRanasiriDayawansa MD Consultant Eye Surgeon Srilanka No financial interest Sequential Bilateral Cataract Surgery in Srilanka

2. In western countries sequential Bilateral Cataract Surgery (SBCS) saves time and risk of travelling to the patient • In Srilanka, patients will not attend for second eye until they develop phacolytic glaucoma and SBCS will avoid serious second eye complications on patients

3. Purpose • To evaluate the patient demographics and visual outcome at one week post operative on patients who had SBCS at provincial hospital in Srilanka from October 2009 to August 2010

4. Method • Retrospective analysis of data on patients who had SBCS for ten months from October 2009 • All had temporal 2.2 mm incision phaco one eye after the other • Each eye was treated separately • Post operative visual acuity was obtained at one week

5. Results • Total 113 patients with 226 eyes • Male -49 and Female-64 • Age less than 50 yrs-13 • 51-60 -23 • 61-70 -49 • 71-80 -25 • over 80 -03

6. Types of Cataract

7. Bilateral Blind- 97 (85.84) • Non Bilateral Blind- 16 (14.15) • NO Major surgical complications

8. Best Corrected Visual Outcome

9. Conclusion • This study showed hardly any major surgical complications and near 95% achived good visual acuity following SBCS in Srilanka • But it will need large scale studies to further confirm the results

10. Discussion • This study gives evidence that SBCS could be implemented in developing countries effectively mainly to save fellow eye not to get devastating complications and save money and time of the patients and the staff.

11. Even though SBCS is getting popularity in developed countries it is not so in developing countries • Major concern is the bilateral endophthalmitis and this risk could be minimized or eliminated if both eyes treated separately and using other anti infective methods

12. Thank you