Intra-ocular lens implantation during cataract surgery in Nepal

Hennig, Albrecht; Pradhan, Damodar; Gregson, R; Pokhrel, Ram Prasad; Johnson, Gordon J.

doi:10.1016/0140-6736(93)90180-o

The Lancet

1993

DOI: 10.1016/0140-6736(93)90180-o

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Intra-ocular lens implantation during cataract surgery in Nepal

Albrecht Hennig¹,

Damodar Pradhan²,

R Gregson

et al.

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Cited by 10 publications

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“…Following a pilot study, 5 we conducted a randomised controlled trial of the new open loop anterior chamber intraocular lenses, with a control group who received ICCE and aphakic spectacle correction. The setting was a busy eye hospital in south east Nepal, where 300 outpatients were seen each day and around 10 000 cataract extractions performed each year with good results.…”

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Long term clinical outcome of a randomised controlled trial of anterior chamber lenses after high volume intracapsular cataract surgery

Hennig¹

2001

British Journal of Ophthalmology

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Background-Age related cataract remains the major cause of blindness throughout the world. In many countries, the majority of cataract surgery continues to be done by the intracapsular cataract extraction (ICCE) method. The results of a large randomised controlled trial of multiflex open loop anterior chamber intraocular lenses (ACIOL) were reported from a busy eye hospital in Nepal. Methods-There was a randomised controlled trial of 2000 people with bilateral cataract reducing vision to less than 6/36. Interventions were ICCE with an ACIOL compared with ICCE with aphakic spectacles (+11 dioptres). Participants were followed at discharge, 6 weeks, 1 year, and 1 1 ⁄2-5 years after surgery. Visual acuity and clinical outcome were measured. A poor outcome was defined as vision <6/60. Results-Visual outcome was comparable in the two groups. More of the control group experienced functional blindness due to loss of aphakic spectacles at 1 year. The majority of cases of poor outcome occurred in the first year after surgery. There was no indication of any lens related problems after 1 year.Conclusion-Multiflex open loop anterior chamber lenses are safe for up to 1 year of follow up when used by experienced surgeons, and the available evidence of 2-5 years of follow up suggests that the complication rate is reasonably low. An ACIOL at the time of cataract surgery oVers benefits over routine ICCE surgery with aphakic spectacle correction as it avoids the problem of replacing lost and broken spectacles. (Br J Ophthalmol 2001;85:11-17) Age related cataract remains by far the single major cause of blindness throughout the world.

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Long term clinical outcome of a randomised controlled trial of anterior chamber lenses after high volume intracapsular cataract surgery

Hennig¹

2001

British Journal of Ophthalmology

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Cataract Surgery With Rigid and Foldable Posterior Chamber IOLs, ECCE and Phacoemulsification

2000

Survey of Ophthalmology

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Anterior Chamber Intraocular Lenses

2000

Survey of Ophthalmology

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Intra-ocular lens implantation during cataract surgery in Nepal

Cited by 10 publications

References 3 publications

Long term clinical outcome of a randomised controlled trial of anterior chamber lenses after high volume intracapsular cataract surgery

Long term clinical outcome of a randomised controlled trial of anterior chamber lenses after high volume intracapsular cataract surgery

Cataract Surgery With Rigid and Foldable Posterior Chamber IOLs, ECCE and Phacoemulsification

Anterior Chamber Intraocular Lenses

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