Mr.Gaurav Kapoor
Comparing surgical outcomes of management of posterior polar cataract which is difficult to manage surgically and has been associated with poor surgical outcomes. In a prospective analytical study, 46 eyes of 38 patients with posterior polar cataracts underwent surgery at an intermediate level eye centre. The posterior polar cataract incidence was 1.23 per 1000. Of the 46 eyes operated, 6 had a posterior capsular rupture (PCR) (13.04%), whereas, various studies have reported incidence of 6–36% in posterior polar cataracts. 41 eyes achieved a visual acuity of 6/12 or better (89.13%) and 39 eyes of 6/9 or better (84.78%). 4 patients had amblyopia (8.6%), Two patients developed macular edema (4.34%). Mean follow-up was 7 months (range 3–11 months). There was no case of nucleus drop or retinal detachment. Conclusion: Posterior polar cataracts are a surgical challenge. With controlled surgery, well defined techniques, a good surgical outcome can be achieved with reduced incidence of PCR.
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