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Surgical and visual outcome of posterior polar cataract in National Eye Center Cicendo Eye Hospital, Indonesia

Rani Pitta , Andrew M.H Knoch, MD, Budiman MD, Emmy Dwi MD

Rani Pitta
Department of Ophthalmology, Faculty of Medicine, Padjadjaran University, Indonesia National Eye Centre, Cicendo Eye Hospital. Email: rani.pitta1@gmail.com

Andrew M.H Knoch, MD
Department of Ophthalmology, Faculty of Medicine, Padjadjaran University, Indonesia National Eye Centre, Cicendo Eye Hospital

Budiman MD
Department of Ophthalmology, Faculty of Medicine, Padjadjaran University, Indonesia National Eye Centre, Cicendo Eye Hospital

Emmy Dwi MD
Department of Ophthalmology, Faculty of Medicine, Padjadjaran University, Indonesia National Eye Centre, Cicendo Eye Hospital
Online First: December 01, 2020 | Cite this Article
Pitta, R., Knoch, MD, A., MD, B., Dwi MD, E. 2020. Surgical and visual outcome of posterior polar cataract in National Eye Center Cicendo Eye Hospital, Indonesia. Bali Journal of Ophthalmology 4(2). DOI:10.15562/bjo.v4i2.72


Introduction: Posterior polar cataract is a rare form of cataract with incidence from 3 to 5 in 1000. It is bilateral in 65–80% of the cases with no gender predilection. Posterior polar cataract presents a special challenge to the surgeon because of its predisposition to posterior capsular dehiscence and possible nucleus drop during surgery. The study aims to evaluate the visual outcome and complication of cataract surgery in patients with posterior polar cataract.

Material and Methods: This is a descriptive study. Data were collected from the medical records within period of January 2016 – December 2018 in National Eye Center Cicendo Eye Hospital and reviewed retrospectively. Subjects in this study are patients with posterior polar cataract who underwent cataract surgery. The outcomes included visual acuity on the fourth week after surgery and complications during cataract surgery.

Results: There were 50 eyes of 37 patients included in the study. The mean age was 55.22±13.86 years. Best corrected visual outcomes (BCVA) before surgery were 6/6-6/18 in 26 eyes (52%) after surgery there were 48 eyes (96%). Complications during surgery were found in 7 eyes (14%), which was posterior capsular rupture with vitreous prolapse. Complications during phacoemulsification technique in 6 patients and 1 patient had SICS.

Conclusion: Posterior polar cataracts are a surgical challenge. In our study, cataract surgery in posterior polar cataract leads to good visual outcome. Appropriate treatment in patients with complications yielding good outcome.

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