The pre-operative and post-operative visual acuities, IOP and Modified VF-14 (MVF-14) score were recorded prospectively in 158 eyes undergoing cataract extraction for uncomplicated cataract. The presenting visual acuity, IOP and MVF-14 score were recorded on 158 eyes seen at 4-11weeks post-operative. Among 158 patients, the mean age was 60.34 ± 9.42 years, 48.10% (76) were male and 51.90% (82) were female. Out of 158 operated eyes 53.16% had a visual acuity of less than 3/60 and 44.94% had a visual acuity of <6/18-6/60 preoperatively. Presenting vision after 4-11 weeks postoperatively showed that 128 patients out of 158 patients (81.01%) had good vision while 27patients (17.10%) had borderline vision, and 3 patients (1.90%) had poor vision. Posterior capsular opacification was responsible for poor outcome in 1.90% of eyes. The pre-operative mean IOP was 17.71±2.84 (±SD) mmHg and mean IOP at 4-11 weeks post-operative was 10.87±1.30 (±SD) mmHg. A statistically significant improvement in IOP was observed at 4-11 weeks post-operative (P<0.0001). The mean pre-operative MVF-14 score was 23.80± 17.72 (±SD) and mean 4-11 weeks post-operative MVF-14 score was 78.64±19.3 (±SD). A significant improvement in MVF-14 score was observed at 4-11 weeks post-operative (Mean± SD, P<0.0001). Significant improvements were obtained in IOP, visual acuity, functional and perceived vision by cataract surgery involving SICS or Phacoemulsification with posterior chamber intraocular lens implantations. In order to deal with cataract-related visual impairment as much emphasis on surgical quality, refractive correction, and follow-up care is necessary as on the number of surgeries.
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