Background: To study the preoperative, intraoperative and postoperative complications and to study postoperative visual outcome in these patients.

Methods: This is a prospective observational study conducted on a study population of 43 patients who were diagnosed with IHD (ejection fraction >40%). Complete ophthalmic examination with slit lamp, fundus examination, intraocular pressure, biometry was performed. All patients underwent thorough cardiac evaluation and fitness for cataract surgery under local anaesthesia was obtained.Lignocaine2% without adrenaline was used for local anaesthesia. Systemic medications like aspirin and other blood thinners were stopped 5-7 days before surgery. These patients were subjected to the same protocol of Manual small incision cataract surgery like all other patients. Final visual acuity was accessed at the end of 6weeks.

Results: Of the 43 patients with IHD,15 patients (34.89%) were in age group of 45-60 yr,23 patients (53.48%) were in age group of 60-70yr,5 patients (11.62%) were above 70years. 8 patients (18.6%) had intraoperative bleeding from sclero corneal tunnel,4 patients (9.3%) had postoperative subconjunctival haemorrhage. All 43 patients (100%) achieved 6/9 to 6/6 postoperative vision at 6 week follow up. None of the patients had any systemic complications like decrease of saturation, variation in heart rate during surgery.

Conclusion: In patients with IHD who undergo cataract surgery, complications can be minimized by proper preoperative evaluation and intraoperative care. Surgery done with precaution will reduce intraoperative complications and gives good visual outcome