AIM: To assess the subjective satisfaction and evaluation of glare and halos after multifocal IOL implantation in rural population. SETTINGS AND DESIGN: Retrospective study. MATERIALS AND METHODS: Two hundred patients with cataract were selected randomly. After written informed consent all patients were subjected for detailed preoperative evaluation. Patients were divided into two groups of 100 each to undergo phacoemulsification followed by either mutifocal / monofocal IOL implantation. The monofocal group was taken as control. Both the groups were evaluated post operatively after 1 month for subjective satisfaction by standard questionnaire method and subjective symptoms like glare and halos were evaluated. STATISTICAL ANALYSIS:The data was analyzed by chi-square test with p<0.05% indicating statistical significance. RESULTS: In the multifocalgroup90%had good to excellent subjective satisfaction compared to 78% in monofocal group. In the multifocal group 28%had glare and halos compared to 8% in monofocal group. CONCLUSION: Multifocal IOLs provide higher subjective satisfaction which overshadowed the minor side effects like glare and halos seen in our patients.

To compare the efficacy and safety of single injection technique of Peribulbar anaesthesia with that of double site injection technique for cataract extraction in terms akinesia, analgesia, onset and duration of the action of analgesia and incidence of complications.A cross-sectional study involving 342 eyes which were randomised into two groups of 171 group A (single site injection peribulbar anaesthesia) and group B (double site injection peribulbar anaesthesia) by simple randomization. All the patients underwent similar protocol for standard cataract evaluation. Peribulbar anaesthesia was given in both the group before surgery and effect of anaesthesia were analysed in terms of analgesia and akinesia.Analgesia (P = 0.074) and akinesia (P = 0.054) were good in both the group but the results were not statistically significant between the 2 groups. At the end of 15 minutes all the patients attained akinesia and analgesia in both the (P= 0.053). Complications were more in group B than in group A. Single site injection of peribulbar anaesthesia is less painful during administration compared to double site peribulbar anaesthesia. Complications are more in double site injection comparatively.

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