Comparison of safety and number of post-operative visits of patients in convenient day versus conventional first day follow-up after phacoemulsification

  • Zahid Kamal Sahiwal Medical College, Sahiwal
  • Ahmad Zeeshan Jamil Sahiwal Medical College, Sahiwal https://orcid.org/0000-0002-6060-1751
  • Hira Shuja Khokhar Mayo Hospital Lahore
  • Farah Huma Mayo Hospital Lahore
Keywords: Cataract, Cost, Intraocular lens, Phacoemulsification, Safety

Abstract

Objectives: To compare safety and number of post-operative visits of patients in convenient day versus conventional first day follow-up after phacoemulsification

Methods: This observational cohort study was conducted in Department of ophthalmology, Sahiwal Medical College, Sahiwal from November 2019 to August 2020. There were 600 patients who underwent uncomplicated phacoemulsification with intraocular lens implantation. Patients were allocated into two groups. Group-I comprised of patients with convenient day follow-up during the first post-operative week. Group-II comprised of the patients with conventional first day follow-up. Rate of complications, number of visits during the first month and final visual acuity were recorded.

Results: In Group-I post-operative complications were noted in 12.67% cases on first follow up visit and in 2.67% cases on first month follow up visit. In Group-II post-operative complication were noted in 22 % cases on first follow up visit and in 4% cases on first month follow up visit. Common postoperative complications were corneal oedema, anterior segment intraocular inflammation, residual lens matter in anterior chamber and intraocular lens subluxation. There was no difference in presenting and postoperative visual acuity between the two groups. Mean follow-up visits were 2.23 ± 0.42 in Group-I and 3.55 ± 0.50 in Group-II.

Conclusion: Convenient day follow-up is as safe as conventional first day follow-up. Convenient day follow-up significantly reduces the number of post-operative visits. This would translate into cost reduction both for the patients and the health care facility.

doi: https://doi.org/10.12669/pjms.37.5.4121

How to cite this:
Kamal Z, Jamil AZ, Khokhar HS, Huma F. Comparison of safety and number of post-operative visits of patients in convenient day versus conventional first day follow-up after phacoemulsification. Pak J Med Sci. 2021;37(5):1440-1444.  doi: https://doi.org/10.12669/pjms.37.5.4121

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Zahid Kamal, Sahiwal Medical College, Sahiwal

Professor of Ophthalmology

Ahmad Zeeshan Jamil, Sahiwal Medical College, Sahiwal

Associate Professor of Ophthalmology

Hira Shuja Khokhar, Mayo Hospital Lahore

Post Graduate Trainee

Department of Ophthalmology, Unit 1, Mayo Hospital Lahore

Farah Huma, Mayo Hospital Lahore

Post Graduate Trainee

Department of Ophthalmology, Unit 1, Mayo Hospital Lahore

Published
2021-07-16
How to Cite
Kamal, Z., Jamil, A., Khokhar, H., & Huma, F. (2021). Comparison of safety and number of post-operative visits of patients in convenient day versus conventional first day follow-up after phacoemulsification. Pakistan Journal of Medical Sciences, 37(5). https://doi.org/10.12669/pjms.37.5.4121
Section
Original Articles