Title
Evaluation of posterior segment pathology in cataract surgery patients with opaque media: A tertiary care study from Chengalpattu, India
Authors
Jainisha Jayakrishnan1, Mohan Ram Kumar1, Rubina Huda1, Syed Ali Nasar Waris2,*, Jaswanth Reddy Kadapana1 & Rakesh Muthineni1
Affiliation
1Department of Ophthalmology, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth deemed to be university, Puducherry, India; 2Department of Ophthalmology, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth deemed to be university, Puducherry, India; *Corresponding author
Jainisha Jayakrishnan - E-mail: jainishajayakrishnan@gmail.com; Phone: +91 7507334466
Mohan Ram Kumar - E-mail: mohaneyespecialist@gmail.com; Phone: +91 9444284354
Rubina Huda - E-mail: dr.rubinawaris24@gmail.com; Phone: +91 8220131840
Syed Ali Nasar Waris - E-mail: alinasarwaris@gmail.com; Phone: +91 8098759560
Jaswanth Reddy Kadapana - E-mail: kadapanajr.369@gmail.com; Phone: +91 9652504003
Rakesh Muthineni - E-mail: rakesh9raks@gmail.com; Phone: +91 8985875249
Article Type
Research Article
Date
Received July 1, 2026; Revised July 31, 2026; Accepted July 31, 2026, Published July 31, 2026
Abstract
Cataracts remain a major cause of preventable blindness and hidden posterior segment lesions may reduce the visual recovery after surgery. Therefore, it is of interest to evaluate the posterior segment abnormalities in patients with opaque media undergoing cataract surgery at a tertiary care hospital in Chengalpattu district. Hence, a prospective observational study was conducted on ninety-three eyes including mature, hypermature and traumatic cataracts using B-scan ultrasonography with a 10 MHz probe. Ultrasonography findings were associated with Relative afferent papillary defect (RAPD), intraocular pressure and visual acuity with posterior segment abnormalities detected in 40.9% of eyes, most commonly posterior vitreous separation (10.8%), retinal detachment (8.6%) and vitreous haemorrhage (6.4%), while reduced visual acuity (PL+) showed significant association with posterior segment pathology. Thus, data shows the B-scan ultrasonography was found to be a reliable pre-operative tool for early detection of posterior segment pathology, aiding surgical planning and improving visual outcomes.
Keywords
B-scan ultrasonography; opaque media; posterior segment pathology; cataract surgery; vitreous hemorrhage; retinal detachment; posterior vitreous detachment; preoperative evaluation; relative afferent papillary defect (RAPD); ocular ultrasonography
Citation
Jayakrishnan et al. Bioinformation 22(7): 3830-3833 (2026)
Edited by
Rashmi Laddha
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
