Cataract Surgical Outcome in Lagos University Teaching Hospital, Lagos, Nigeria: A Five year Review
General Ophthalmology
Abstract
Introduction: Cataract is the leading cause of blindness globally and in Sub-Saharan Africa.1,2 Cataract surgical rate in most of Africa is less than 500/million population.3 Good cataract surgical outcome may remove patient’s barriers to uptake of cataract surgical service and improve surgeon confidence. The WHO recommends good outcomes in at least 80% of operated eyes and that no more than 5 % should have a poor outcome.4
Methods: This is a retrospective study. Case notes of adult patients (>18 years) who had cataract surgery between January 2012 andDecember 2016 were obtained and information retrieved include patient age, gender, ocular comorbidities, type of cataract urgery and level of surgeon (Consultant Ophthalmologist or trainee) and visual acuity. Visual acuity was recorded preoperatively, at discharge, 1-3 weeks postoperatively, 4-11 weeks post-operatively and >12 weeks post-operatively. Visual outcome after surgery was graded as good (VA >6/18), fair (VA <6/18 - 6/60) and poor (VA < 6/60).
References
Resnikoff S, Pascolini D, Etya’ale D, Kocur I, Pararajasegaram R et al. Global data on visual impairment in the year 2002. Bull. WHO. 2004; 82:844-851
Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012; 96(5):614-618
Shah SP, Gilbert CE, Razavi H, Turner EL, Lindfield RJ et al. Preoperative visual acuity among cataract surgery patients and countries’ state of development: a global study. Bulletin of the World Health Organization 2011; 89:749-756.
World Health Organisation. Informal consultation on analysis of blindness prevention outcomes. Geneva: World Health Organization; 1998
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