Results: Of 166 eyes examined, of which 49.4% were aphakic, 58% of eyes had very poor functional vision(WHO severe visual impairment-VA <6/60). After refraction and best correction 19% still had very poor vision. The aphakic eyes had both significantly poorer functional and best corrected vision than the pseudophakic eyes. In patients with intact posterior capsule clinically significant posterior capsular opacification was observed in over 10% of eyes at 14 months and 30% at 32 months.
Conclusion: It was found that ECCE surgery in eye camps in this setting gave unacceptable outcomes because of a high rate of capsular rupture and posterior capsular opacification. Careful consideration should be given to the quality of the surgical set up and available resources and possibilities of postoperative follow up when ECCE is introduced in eye camps.