Dear Editor

We have been conducting high volume cataract surgery (hospital-based with full fledged ophthalmic facilities) in rural parts of Maharastra state in India, conducting about 4000 to 5000 thousand sutureless cataract extractions with lens implantations in last 5 years.

Patients with mature cataract with vision not more than finger counting at 5 feet are selected. They all undergo routine eye exams and physical check ups pre-operatively. We use a frown incision 7 to 7.5mm (white mature or dark brown cataracts don't get expressed with the viscoelastics method for incisions smaller then this). Post-op refraction is done after 6 weeks; the average cylinder is about 1.5 D at 90 degrees. Unfortunately, we don't have any method to compile this data. Also follow-up after the final refraction is very poor. I would be grateful if you could suggest a means to compile this data and utilize it in the future. We would welcome any suggestions from you.

Regards

Dr Jayant Shah
Dr Savita Shah