Abstract :
Aim: To estimate the prevalence of post-operative complications after cataract surgery in AIDS patients having cataract in a tertiary care hospital.
Study Design: This was a prospective and observational study done on 100 eyes of 70 AIDS patients having cataract with CD4 cell count below 200 cells/mm who underwent cataract surgery from December 2021 to November 2022.
Materials and Methods: All the AIDS patients who are having cataract with CD4 cell count below 200 cells/mm were examined for anterior and posterior segment using Slit lamp biomicroscopy and Indirect ophthalmoscopy.
Results: The prevalence of post-operative complications were seen in 3% (3/100) of eyes after cataract surgery. Patients with post-operative complications were in between 46-65 years of age. Post-operative complications were seen in patients with CD4 count between 51-150 cells/mm?3;. All the patients underwent postoperative visual acuity of better than 6/24.
Conclusion: In emergency cases cataract surgery in HIV patients is generally safe, regardless of CD4 count, but their general and ocular health should be optimized preoperatively.
Keyword :
AIDS patients, CD4 count, Cataract surgery, Postoperative complications.