DR. SATYA SWAPNIKA Y

DR.A PRASANTH KUMAR

Abstract

HIV population is at risk of developing cataracts at earlier age because of immunosenescence. As most of the patients are from low socioeconomic background, affordability for Phacoemulsification poses financial burden that delays treatment and affects social, mental, and financial wellbeing. Purpose: To evaluate visual and surgical outcomes of manual small incision cataract surgery in HIV population. Methods: Retrospective case analysis of HIV patients who underwent small incision cataract surgery from April 2016 to May 2022. Results: The mean age was 53.14±11. Mean preoperative BCVA(LogMAR) was 1.68±0.85. HIV patients presenting with mature cataract were younger than general population, 37% are younger than 50 years. Mean BCVA at final visit was 0.2±0.19. 80% attained BCVA better than 0.2. Conclusion: As 80% subjects improved to BCVA of ≥0.2, manual small incision cataract surgery is feasible alternate to Phacoemulsification, with proper preoperative assessment and intraoperative care