Cataract is one of the most common causes of visual impairment worldwide. Although visual and surgical audited outcome is available for the USA and the UK, the literature reveals little in regard to visual outcomes in Egypt. Hence, the aim of this study is to provide recent outcome data for cataract surgery in Benha university hospital. This cohort study evaluated postoperative visual outcomes following cataract surgeries at ophthalmology department, benha university hospital. This cohort study was comprised 518 eyes of patients underwent cataract surgery between February 2017 and January 2018. All patients completed 4–6 weeks follow up.
Type of surgical techniques was recorded for 518 operations. Phacoemulsification was used in 371(71.6%) cases, planned extracapsular surgery was performed in 93 (17.9) cases and intra-capsular surgery was performed in 2 (0.4 %) cases. Conversion to ECCE rate was 52 (10.1%).
369 eyes (71.2%) had foldable IOL implanted in the bag, 137 eyes (26.4%) had hard PC-IOL implanted, 7 eyes (1.3%) had AC-IOL implanted and 5 eyes (0.9%) left aphakic for secondary IOL implantation.
Of the 518 eyes that underwent cataract surgery, 97 (18.57%) had intraoperative complications. The most common intraoperative complication was posterior capsule (PC) rupture 62 (11.9%). Other complications included: zonular dehiscence, dropped nucleus, IOL broken haptic, descemet’s detachment, wound burn.
Of the 518 eyes that underwent cataract surgery, 23 cases (4.3%) had corneal edema and only two case (0.4%) had corneal decompenstaion and needed keratoplasty.
Postoperative endophthalmitis was recorded in 3 cases (0.6%).
Postoperative BCVA was “Good” (VA ≥6/18) in 32.4 % of the operated eyes. Borderline visual outcome (vision