Outcomes of Cataract Surgery in Monocular Patients

1
Outcomes of Cataract Surgery in Monocular
Patients

• Fatih M. MUTLU, MD, F. Cüneyt ERDURMAN, MD,
• Mustafa CIVELEKLER, MD, Yusuf UYSAL, MD,
• Tarkan MUMCUOGLU, MD.

Gülhane Military Medical Academy Medical
School, Ankara/TÜRKIYE
The authors have no conflict of interest with
regard to the products used in this study.
2

• Even with technical advances, cataract surgery is
  still a concern in monoculars.
• Both patients and ophthalmic surgeons may often
  prefer to delay the treatment until the cataract
  progresses to more advanced stage.

• Purpose To evaluate the outcomes of cataract
• surgery in monocular patients retrospectively.

3
Methods

• Records of 71 monocular patients who had
  cataract surgery with phacoemulsification by a
  single experienced surgeon were reviewed.
• The data analyzed for each patient includes
• - Demographic information - Anesthesia
  method
• - Pre- and postoperative VA - Additional
  surgery
• - Co-morbidities in the operated eye - IOL
  model
• - Reason for poor VA in the unoperated eye
  
• - Intra- and postoperative complications
• Clinical data were expressed as mean and
  percentages.

4
Results-1

• Gender (F/M) 32/39
• Mean age 72.3 yrs (27-91)
• Mean follow-up 16 wks (4-78)
• Cause of monocularity
• 14 previous ocular surgeries.
• 86 preexisting ocular pathologies.
• Anesthesia 73 topical 11 subconjunctival
• 14 subtenon 1 general
• Implanted IOLs Hydrophobic acrylic.

5
Results-2

• Complication
• No capsular tear
• PCO 12.6
• Endophthalmitis 1.4
• Ocular co-morbidity 68 (46 eyes).
• 23 AMD 17 DR 4 uveitis
• 6 glaucoma 7 PEX 3 maculopathy
• 6 corneal pathology
• VA 92 pts had an increase in VA at least
• 2 Snellen lines.

6
Conclusion

• Although satisfactory, cataract surgery in
  monocular patients are likely to have some ocular
  co-morbidities and risks, some of which may limit
  the final visual outcome.
• Surgeons skill and experience are essential for
  surgical outcomes as well as considering all risk
  factors and obeying the surgical principles.