Cataract surgery in leprosy patients: visual outcomes and complications


  • Shazia Tabassum Department of Ophthalmology, MGM Medical College, Jamshedpur, Jharkhand, India
  • Manisha Kumari Department of Ophthalmology, Rio, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
  • Alina Kujur Department of Ophthalmology, Rio, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
  • Marianus Deepak Lakra Department of Ophthalmology, Rio, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India



Leprosy, Cataract surgery, Visual outcome, Complications


Background: Objective of study was to study the outcome of cataract surgery in terms of visual results and intra and postoperative complications in case of leprosy patient.

Methods: The study analyzed all new cataract cases with leprosy at the outpatient unit, including patients cured of leprosy with senile or complicated cataracts but excluding those with corneal or retinal issues. Small incision cataract surgery was performed, with outcomes and complications assessed. Data collection and analysis utilized descriptive statistics. Follow-ups occurred at discharge and 1-, 4-, and 12-weeks post-surgery, revealing visual acuity ranging from good (6/6-6/18) to poor (<6/60).

Results: The study involved 117 eyes from 98 patients (55 males, 43 females, ages 30-89). Pre-surgery, visual acuity was good in 6 eyes (5.12%), borderline in 29 (24.78%), and poor in 82 (70.08%). Post-surgery, 78 eyes (66.67%) had good, 25 (21.37%) borderline, and 10 (8.55%) poor visual acuity. At 12 weeks, 91.14% had good, 5.9% borderline, and 2.95% poor acuity. Common intraoperative issues included posterior capsular rupture in 8 eyes (6.84%), cortical matter loss in 4, iris prolapse in 2, and zonular dehiscence in 1. Early postoperative complications were iridocyclitis in 11 eyes (9.4%) and hyphema in 7 (5.98%), with late complications like chronic anterior uveitis, corneal decompensation, and choroidal detachment occurring in 3 and 2 eyes respectively.

Conclusions: Visual outcome was good and the rates of intra and post-operative complications were minimal in our study. Functional vision can be achieved with timely surgical intervention.


Omran AR. The epidemiologic transition: a theory of the epidemiology of population change. Milbank Q. 2005;83:731-57.

Pezzullo L, Streatfeild J, Simkiss P, Shickle D. The economic impact of sight loss and blindness in the UK adult population. BMC Health Serv Res. 2018; 18:63.

World report on vision. Available at: https://www. world-report-on-vision. Accessed on 20 January 2024.

Steinmetz JD, Bourne RR, Briant PS, Flaxman SR, Taylor HR, Jonas JB, et al. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health. 2021;9(2):e144-60.

Leprosy. Available at: Accessed on 20 January 2024.

Supporting leprosy elimination in India. Available at: Accessed on 20 January 2024.

Weekly Epidemiological Record No. 35. Available at: Accessed on 20 January 2024.

Courtright P, Lewallen S. Ocular manifestations of leprosy. In: Johnson GJ, Minassian DC, Weale R, eds. The epidemiology of eye disease. London: Chapman and Hall Medical; 1998.

Lundström M, Barry P, Henry YP, Rosen P, Stenevi U. Visual outcome of cataract surgery; study from the European Registry of Quality Outcomes for Cataract and Refractive Surgery. J Cataract Refract Surg. 2013;39(5):673-9.

Qin V, Conti FF, Singh RP. Measuring outcomes in cataract surgery. Curr Opin Ophthalmol. 2018;29: 100-4.

Thanigasalam T, Reddy SC, Zaki R. Factors Associated with Complications and Postoperative Visual Outcomes of Cataract Surgery; a Study of 1,632 Cases. J Ophthalmic Vis Res. 2015;10:375-84.

Donthineni P, Das A, Shanbhag S, Basu S. Cataract surgery in dry eye disease: visual outcomes and complications. Front Med. 2020;7:834.

Paracha Q. Cataract surgery at Marie Adelaide Leprosy Centre Karachi: an audit. JPMA J Pak Med Assoc. 2011;61(7):688-90.

Yorston D. Are intraocular lenses the solution to cataract blindness in Africa? Br J Ophthalmol. 1998; 82:469-71.

Yorston D, Foster A. Audit of extracapsular cataract extraction and posterior chamber intraocular lens implantation as a routine treatment for age-related cataract in east Africa. Br J Ophthalmol. 1999;83: 897-901.




How to Cite

Tabassum, S., Kumari, M., Kujur, A., & Lakra, M. D. (2024). Cataract surgery in leprosy patients: visual outcomes and complications. International Journal of Research in Medical Sciences, 12(5), 1497–1501.



Original Research Articles