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ARTICLES
Year : 1974  |  Volume : 22  |  Issue : 1  |  Page : 35

Cataract extraction in a hunch back woman


Department of Ophthalmology, Medical College, Chingleput, India

Correspondence Address:
S.P.T Sambandam
Department of Ophthalmology, Medical College, Chingleput
India
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Source of Support: None, Conflict of Interest: None


PMID: 4448534

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How to cite this article:
Sambandam S. Cataract extraction in a hunch back woman. Indian J Ophthalmol 1974;22:35

How to cite this URL:
Sambandam S. Cataract extraction in a hunch back woman. Indian J Ophthalmol [serial online] 1974 [cited 2020 Jun 1];22:35. Available from: http://www.ijo.in/text.asp?1974/22/1/35/31381

Cataract Extraction in the elderly person poses many problems. The numerous physical ailments which commonly affect older people are not necessarily a bar to surgery. Patients in wheel chairs and in bed, who have reasonably good mental state, have been operated upon successfully. Here is an unique problem in which a woman who has a severe degree of hunch back developed cataract. She was not able to lie flat on her back. She could either sit or lie on her sides. The operation could be performed only in the sitting posture or lying on her sides. In the immediate post operative period also she had to be on her sides only.


  Case Report Top


M.L. 68 years old woman with a severe degree of hunch back came to the ophthalmic department for treatment of defective vision. She had an immature cataract in right eye and a mature cataract in left eye. Vision in right eye was finger counting at 1 metre and left eye perception of light only. Tension was 18.9 mm (Schiotz) in both eyes.

STEPS OF OPERATION

Patient was put on the operating table on her right side, so that the left eye was above. As it was difficult to use a speculum, lid sutures were used. After reflecting a conjunctival flap a small incision was made at 3 O'clock position at the limbus and the wound extended on either side to 12 and 6 O'clock. No iridec­tomy was done because peripheral iridectomy if done at 3 O'clock would give rise to diplopia and a complete iridectomy would produce photophobia. Due to the position of the head during operation it was thought that an extracapsular extraction would be a safe and simple procedure. Hence the lens was extracted after rupturing the anterior capsule. The wound was closed with corneo-scleral sutures and air introduced into the anterior chamber.

In the post operative period she was placed in the same posture as she was on the operating table with her operated eye above. On the second post operative day there was a slight hyphaema. She was discharged on the 7th day. Her corrected vision was 6/9.


  Summary Top


A sixty eight years old hunch back woman who could not lie flat on her back was opera­ted on successfully for cataract.




 

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