Aims: To determine the visual outcome of cataract surgeries postoperatively
at first day, one and three months.
Background: Postoperative visual outcome is one of the key
factors that develops satisfied patients, build confidence and for increasing
the demand for cataract surgeries in the community.
Study Design: This was a retrospective, case series study at
Eye Foundation Community Hospital, Ilese-Ijebu-Imushin, Ogun state of Nigeria
for a 3-month duration from June 1st 2019 to August 31st 2019.
Methodology: All patients 18 years and above operated for
cataract surgery without comorbidity were included in the study. Type of
surgery done were manual small incision cataract surgery (MSICS) and
phacoemulsification. Patient data were entered into excel spread sheet created
for the study. From where it was cleaned up and exported in to statistical
package for social sciences 20. Visual outcome was assessed on the first day,
first month and at third month post operatively. Snellen visual acuity was
converted to log MAR. P value = 0.05 is determined as statistically significant.
Visual outcome was assessed on the first day, first month and at third month
post operatively. Snellen visual acuity was converted to log MAR. P value =
0.05 is determined as statistically significant.
Results: Two hundred and fifty (250) patients or eyes were
analysed in this study. Two hundred and twenty patients (88%) had MSICS, 30
(12%) had phacoemulsification. Preoperatively, majority (150, 60%) presented
with visual acuity less than 3/60 followed by patients with visual acuity
between 6/18 to 6/60 (76, 30.4%). Nineteen patients (7.6%) had visual acuity of
6/18 or better. Mean preoperative log MAR was 1.6 ± 0.8 (equivalent to count
finger). 3-month post op, two hundred and fourteen (85.6%) had uncorrected
visual acuity of 6/18 or better while 231 patients (92.4%) had best corrected
(with pinhole) visual acuity of 6/18 or better. (P=0.004 and 0.038
respectively).
Conclusion: There is an appreciable improvement in the
visual outcome following cataract surgery. It is however important to continuously
audit cataract surgical outcome and train young ophthalmologist to be competent
in performing excellent cataract surgeries with brilliant visualoutcomes
according to WHO recommendation.
Author(s) Details:
Bogunjoko T. J.,
Eye Foundation Community Hospital, Ijebu-Imusin, Ogun State,
Nigeria.
Hassan A. O.,
Eye
Foundation Community Hospital, Ijebu-Imusin, Ogun State, Nigeria.
Akinye A.,
Eye Foundation Community Hospital, Ijebu-Imusin, Ogun State,
Nigeria.
Maji C. S.,
Eye Foundation Community Hospital, Ijebu-Imusin, Ogun State,
Nigeria.
Olowolaiyemo M.,
Eye Foundation Community Hospital, Ijebu-Imusin, Ogun State,
Nigeria.
Idris O.,
Eye
Foundation Community Hospital, Ijebu-Imusin, Ogun State, Nigeria.
Please see the link here: https://stm.bookpi.org/NVMMS-V5/article/view/14155
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