Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Sunday Commando Maji
National Eye Centre - Kaduna, Nigeria
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
Aim: The aim of the study was to assess the visual outcome of patients who had cataract surgery with posterior chamber intraocular lens implantation at Jibril Mai-Gwari Memorial Hospital (JMMH) Birnin Gwari Local Government Area (LGA), Kaduna State. Materials & Method: A prospective, observational, descriptive hospital based study of consecutive eligible patients aged 40 years and above undergoing cataract surgery at JMMH conducted between September and December 2014. A total of 119 patients who presented to the hospital and met the inclusion criteria were recruited into the study. Patients were examined preoperatively, 1st postoperative day and then at the 6th post-operative week. The International Centre for Eye Health (ICEH) modified cataract surgery record form 2009 was used as questionnaires for the study. All data were analyzed using SPSS version 16.0 statistical software. Results: The mean age was 65.2 years and the male to female ratio was 1.5:1. Preoperatively, 108eyes (90.8%) were blind in the operated eye. At 1st day postoperatively with Best Corrected Visual Acuity (BCVA) 40 eyes (33.6%) had good vision, but with BCVA after refraction at the 6 week postoperatively the results of the study revealed that 59 eyes (58.4%) (Out of the 101eyes that returned for follow up visit at that stage of the study) had good vision, 19 eyes (18.8%) had borderline vision while 23eyes (22.8%) had poor vision. The Blindness Reduction Rate (BRR) of the study was 0.74 (about 75%). Poor selection was the most common cause of poor visualoutcome after refraction at the final follow up visit at the 6th postoperative week with glaucoma responsible for most of thiscause. Conclusion: This study demonstrates that good outcome can be achieved after cataract surgery with intraocular lens implantation even in a rural based secondary health centre in Nigeria. However, effort must be made by the ophthalmic doctor at improving selection of patients for cataract surgery to optimize the eventual visual outcome after the surgery.
Email: sundaymaji@yahoo.com