01542nas a2200349 4500000000100000008004100001260001300042653001000055653001300065653002400078653003000102653001100132653002200143653001300165653001100178653001100189653001200200653001200212653000900224653001600233653003200249653001800281100001800299700001600317245005700333856004100390300000900431490000700440050002100447520071000468022001401178 1993 d c1993 Mar10aAdult10aCataract10aCataract Extraction10aEye Infections, Bacterial10aFemale10aFollow-Up Studies10aGlaucoma10aHumans10aIritis10aleprosy10aLiberia10aMale10aMiddle Aged10aPostoperative Complications10aVisual Acuity1 aFrucht-Pery J1 aFeldman S T00aCataract surgery in a leprosy population in Liberia. uhttp://ila.ilsl.br/pdfs/v61n1a04.pdf a20-40 v61 aFRUCHT-PERRY19933 a

In Liberia, 43 eyes of 30 patients with ocular leprosy underwent cataract extraction; 33 eyes had extracapsular cataract extraction (ECCE) and 10 eyes had intracapsular cataract extraction (ICCE). ICCE was performed in eyes with poor visualization of the anterior chamber. In 95% of the eyes, the postoperative vision improved by 2 Snellen lines or more, but functional visual acuity (better than 20/200) was achieved in only 65% (82% post-ECCE and 10% post-ICCE). Fewer postoperative complications were observed after ECCE. These findings may have been related to less ocular involvement by leprosy preoperatively. ECCE should be attempted when the visualization of the anterior chamber is fair.

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