Outcome of Age Related Cataract Surgery at Mbingo Baptist Hospital Eye Unit, North West Region, Cameroon
Abstract
Objective: The overall objective was to assess the outcome of age related cataract surgery at
Mbingo Baptist Hospital, Eye Unit, North West Region, Cameroon from the 1st January 2014
till 31st of December 2014
Methods: This was a retrospective hospital based case series conducted at Mbingo Baptist
Hospital, Eye Unit, North West Region, Cameroon. Data was abstracted from files of patients
40 years old and above, who had undergone cataract surgery for age related cataract. The data
was captured using a data collection tool and analyzed using STATA Version 20.0.
Descriptive and univariate analysis was carried out.
Results: Of the 230 files analyzed 82.2 % of eyes were blind and 3.5 % had severe visual
impairment preoperatively. The uncorrected visual acuity was 6/18 or better in 2.3% eyes on
day one and improved to 10.2 % eyes at 4-6 weeks. The uncorrected visual acuity was less
than 6/60 in 30.3 % of eyes on day one and reduced to 20.4% eyes at 4-6weeks.Only 6% of
the eyes had refraction done. All the eyes had biometry done. Intraoperative complication
rate was 13% with vitreous loss accounting for 4.3%. At 4-6 weeks post-operatively the
major cause of poor outcome was ocular comorbidity and found to be statistically significant
(p-value 0.040).
Conclusion: Uncorrected visual acuity at 4-6 weeks was below the WHO bench mark and
ocular comorbidity was a major cause of poor outcome.
Recommendations: Provide a wide variety of IOL powers and refraction should be made as
a rule for all patients with provision of affordable spectacles for those with refractive errors.
Device ways to improve patient follow up.
Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
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