Open Access Journal of Ophthalmology (OAJO)

ISSN: 2578-465X

Research Article

Visual Outcome of Adult Cataract Small Incision Cataract Surgery in Northern Benin

Authors: Chakiratou Olaide Adouke Abouki

DOI: 10.23880/oajo-16000293

Abstract

Introduction: Cataract remains a public health problem in Africa. Its treatment remain essentially surgical. Several management techniques are available and the most adapted to a context with poor resources like lack of material and financial resources is small incision cataract surgery (SICS). Method: This was an exhaustive recruitment of the study population meeting the inclusion and non-inclusion criteria. Carried out from January 1st to May 30th of 2022 at Hôpital Saint André de Tinré (HOSAT) located in the Northern part of Benin. It involved patients aged 40 and above who underwent cataract surgery during the period of this study. Visual acuity was assessed before and after the surgeries at day 1 and day 30. Results: We included 213 eyes. The average age was 65.2 ± 9.1 years with a mean age of 65.2 ± 9.1 years. Comorbidities were dominated by arterial hypertension in 57.5% of cases. Preoperatively, all patients had at least in one eye a visual acuity of less than 1/20. The main intraoperative complication was posterior capsular tear with vitreous loss, found in 6% of cases. The average power of the implant was 21.4 ±1.7 diopters. The standard implant was used in 64.7% of patients. After one month, the visual acuity without postoperative correction was good in 32.1%; borderline visual acuity was 41.4% and poor visual acuity was 26.5%. Conclusion: Cataract remains the main cause of blindness in developing countries, particularly in rural areas. It is important to sensitize patients for early screening in order to improve theirs qualities of life

Keywords: Surgery; Intraocular Lens; Blindness; Cataract; Retrobulbar Anesthesia; Postoperative

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