Outcome of cataract surgery in rural areas of Kaduna State, Nigeria
To evaluate the visual outcome of all patients who had cataract surgery with intraocular lens implant in five Local Government Areas (LGAs) of Kaduna State and to identify reasons for poor outcome and to proffer suggestions to improve outcome. A prospective study using the WHO cataract surgery recor...
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| Veröffentlicht in: | Annals of African medicine 2014-01, Vol.13 (1), p.25-29 |
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| creator | Oladigbolu, Kehinde K Rafindadi, Abdulkadir L Mahmud-Ajeigbe, Abiodun F Chinda, Dominic Pam, Victoria Samaila, Elsie |
| description | To evaluate the visual outcome of all patients who had cataract surgery with intraocular lens implant in five Local Government Areas (LGAs) of Kaduna State and to identify reasons for poor outcome and to proffer suggestions to improve outcome.
A prospective study using the WHO cataract surgery record form to collect data from consecutively screened and operated cataract patients over a period of 18 months (January 2006-June 2007). Data was analysed using Monitoring Catarct Surgery Outcome V2.3 software by the WHO.
A total of 690 eyes of 644 patients were operated, ECCE+PCIOL implantation was achieved in 664 (96.2%) while 26(3.8%) had anterior chamber lens implant. The age range was 40 - 99 years and male to female ratio was 1: 0.9. Good outcome was obtained in 239 (34.6%) and 370(53.6%) of patients at 2 and 8 weeks respectively in the postoperative period. Surgical complications like striate keratopathy/corneal oedema (18.3%), cortical reminant (4.2%) and posterior capsular rupture (2.9%), and uncorrected refractive error were identified as reasons for poor outcome.
A good outcome of greater than 80% at 8 weeks postoperative period was not achieved. Provision of postoperative correction of residual ametropia in the rural community, as well as improved surgical techniques of surgeons, will go a long way to improve the visual outcome and cataract surgery uptake. |
| doi_str_mv | 10.4103/1596-3519.126943 |
| format | Article |
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A prospective study using the WHO cataract surgery record form to collect data from consecutively screened and operated cataract patients over a period of 18 months (January 2006-June 2007). Data was analysed using Monitoring Catarct Surgery Outcome V2.3 software by the WHO.
A total of 690 eyes of 644 patients were operated, ECCE+PCIOL implantation was achieved in 664 (96.2%) while 26(3.8%) had anterior chamber lens implant. The age range was 40 - 99 years and male to female ratio was 1: 0.9. Good outcome was obtained in 239 (34.6%) and 370(53.6%) of patients at 2 and 8 weeks respectively in the postoperative period. Surgical complications like striate keratopathy/corneal oedema (18.3%), cortical reminant (4.2%) and posterior capsular rupture (2.9%), and uncorrected refractive error were identified as reasons for poor outcome.
A good outcome of greater than 80% at 8 weeks postoperative period was not achieved. Provision of postoperative correction of residual ametropia in the rural community, as well as improved surgical techniques of surgeons, will go a long way to improve the visual outcome and cataract surgery uptake.</description><identifier>ISSN: 1596-3519</identifier><identifier>EISSN: 0975-5764</identifier><identifier>DOI: 10.4103/1596-3519.126943</identifier><identifier>PMID: 24521574</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Biometrics ; Cataract ; Cataract - diagnosis ; Cataract - epidemiology ; Cataract Extraction - adverse effects ; Cataract Extraction - methods ; Cataracts ; Eye surgery ; Female ; Health Care Surveys ; Humans ; Lens Implantation, Intraocular - methods ; Male ; Medical research ; Medicine, Experimental ; Middle Aged ; Nigeria - epidemiology ; Postoperative Complications - epidemiology ; Prospective Studies ; Public health ; Rural Population ; Sex Distribution ; Surgery ; Teaching hospitals ; Time Factors ; Transplants & implants ; Treatment Outcome ; Visual Acuity</subject><ispartof>Annals of African medicine, 2014-01, Vol.13 (1), p.25-29</ispartof><rights>COPYRIGHT 2014 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright Medknow Publications & Media Pvt Ltd Jan-Mar 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-83f25afec5aceb6a85c3f439e1ff157ed4c1b80c597df8fd551faad7a9df66933</citedby><cites>FETCH-LOGICAL-c425t-83f25afec5aceb6a85c3f439e1ff157ed4c1b80c597df8fd551faad7a9df66933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24521574$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oladigbolu, Kehinde K</creatorcontrib><creatorcontrib>Rafindadi, Abdulkadir L</creatorcontrib><creatorcontrib>Mahmud-Ajeigbe, Abiodun F</creatorcontrib><creatorcontrib>Chinda, Dominic</creatorcontrib><creatorcontrib>Pam, Victoria</creatorcontrib><creatorcontrib>Samaila, Elsie</creatorcontrib><title>Outcome of cataract surgery in rural areas of Kaduna State, Nigeria</title><title>Annals of African medicine</title><addtitle>Ann Afr Med</addtitle><description>To evaluate the visual outcome of all patients who had cataract surgery with intraocular lens implant in five Local Government Areas (LGAs) of Kaduna State and to identify reasons for poor outcome and to proffer suggestions to improve outcome.
A prospective study using the WHO cataract surgery record form to collect data from consecutively screened and operated cataract patients over a period of 18 months (January 2006-June 2007). Data was analysed using Monitoring Catarct Surgery Outcome V2.3 software by the WHO.
A total of 690 eyes of 644 patients were operated, ECCE+PCIOL implantation was achieved in 664 (96.2%) while 26(3.8%) had anterior chamber lens implant. The age range was 40 - 99 years and male to female ratio was 1: 0.9. Good outcome was obtained in 239 (34.6%) and 370(53.6%) of patients at 2 and 8 weeks respectively in the postoperative period. Surgical complications like striate keratopathy/corneal oedema (18.3%), cortical reminant (4.2%) and posterior capsular rupture (2.9%), and uncorrected refractive error were identified as reasons for poor outcome.
A good outcome of greater than 80% at 8 weeks postoperative period was not achieved. Provision of postoperative correction of residual ametropia in the rural community, as well as improved surgical techniques of surgeons, will go a long way to improve the visual outcome and cataract surgery uptake.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biometrics</subject><subject>Cataract</subject><subject>Cataract - diagnosis</subject><subject>Cataract - epidemiology</subject><subject>Cataract Extraction - adverse effects</subject><subject>Cataract Extraction - methods</subject><subject>Cataracts</subject><subject>Eye surgery</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Lens Implantation, Intraocular - methods</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Nigeria - epidemiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Public health</subject><subject>Rural Population</subject><subject>Sex Distribution</subject><subject>Surgery</subject><subject>Teaching hospitals</subject><subject>Time Factors</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><issn>1596-3519</issn><issn>0975-5764</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkUtv1DAURi0EotPCnhWKhIRYkMGOfZN4WY2gICq6ANbWHee6dZXExY9F_z0JUwpFyAtL9vnuQ4exF4JvleDynQDd1hKE3oqm1Uo-YhuuO6iha9Vjtrn_PmLHKV1zrgBaeMqOGgWNgE5t2O6iZBsmqoKrLGaMaHOVSrykeFv5uYol4lhhJEwr8hmHMmP1NWOmt9UXv2Aen7EnDsdEz-_uE_b9w_tvu4_1-cXZp93peW1VA7nupWsAHVlAS_sWe7DSKalJOLcMQ4OyYt9zC7obXO8GAOEQhw714NpWS3nC3hzq3sTwo1DKZvLJ0jjiTKEkI5TWQmoh9IK--ge9DiXOy3S_KC5106o_1CWOZPzsQl72X4uaUwm9bqQQa9vtf6jlDDR5G2Zyfnl_EHj9V-CKcMxXKYwl-zCnhyA_gDaGlCI5cxP9hPHWCG5WwWY1aFaD5iB4iby8W6zsJxruA7-Nyp__65zW</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Oladigbolu, Kehinde K</creator><creator>Rafindadi, Abdulkadir L</creator><creator>Mahmud-Ajeigbe, Abiodun F</creator><creator>Chinda, Dominic</creator><creator>Pam, Victoria</creator><creator>Samaila, Elsie</creator><general>Medknow Publications and Media Pvt. 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diagnosis</topic><topic>Cataract - epidemiology</topic><topic>Cataract Extraction - adverse effects</topic><topic>Cataract Extraction - methods</topic><topic>Cataracts</topic><topic>Eye surgery</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Lens Implantation, Intraocular - methods</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Middle Aged</topic><topic>Nigeria - epidemiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Public health</topic><topic>Rural Population</topic><topic>Sex Distribution</topic><topic>Surgery</topic><topic>Teaching hospitals</topic><topic>Time Factors</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oladigbolu, Kehinde K</creatorcontrib><creatorcontrib>Rafindadi, Abdulkadir L</creatorcontrib><creatorcontrib>Mahmud-Ajeigbe, Abiodun F</creatorcontrib><creatorcontrib>Chinda, Dominic</creatorcontrib><creatorcontrib>Pam, Victoria</creatorcontrib><creatorcontrib>Samaila, Elsie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of African medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oladigbolu, Kehinde K</au><au>Rafindadi, Abdulkadir L</au><au>Mahmud-Ajeigbe, Abiodun F</au><au>Chinda, Dominic</au><au>Pam, Victoria</au><au>Samaila, Elsie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of cataract surgery in rural areas of Kaduna State, Nigeria</atitle><jtitle>Annals of African medicine</jtitle><addtitle>Ann Afr Med</addtitle><date>2014-01</date><risdate>2014</risdate><volume>13</volume><issue>1</issue><spage>25</spage><epage>29</epage><pages>25-29</pages><issn>1596-3519</issn><eissn>0975-5764</eissn><abstract>To evaluate the visual outcome of all patients who had cataract surgery with intraocular lens implant in five Local Government Areas (LGAs) of Kaduna State and to identify reasons for poor outcome and to proffer suggestions to improve outcome.
A prospective study using the WHO cataract surgery record form to collect data from consecutively screened and operated cataract patients over a period of 18 months (January 2006-June 2007). Data was analysed using Monitoring Catarct Surgery Outcome V2.3 software by the WHO.
A total of 690 eyes of 644 patients were operated, ECCE+PCIOL implantation was achieved in 664 (96.2%) while 26(3.8%) had anterior chamber lens implant. The age range was 40 - 99 years and male to female ratio was 1: 0.9. Good outcome was obtained in 239 (34.6%) and 370(53.6%) of patients at 2 and 8 weeks respectively in the postoperative period. Surgical complications like striate keratopathy/corneal oedema (18.3%), cortical reminant (4.2%) and posterior capsular rupture (2.9%), and uncorrected refractive error were identified as reasons for poor outcome.
A good outcome of greater than 80% at 8 weeks postoperative period was not achieved. Provision of postoperative correction of residual ametropia in the rural community, as well as improved surgical techniques of surgeons, will go a long way to improve the visual outcome and cataract surgery uptake.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>24521574</pmid><doi>10.4103/1596-3519.126943</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of African medicine, 2014-01, Vol.13 (1), p.25-29 |
| issn | 1596-3519 0975-5764 |
| language | eng |
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| source | MEDLINE; African Journals Online (Open Access); Bioline International; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Age Distribution Aged Aged, 80 and over Biometrics Cataract Cataract - diagnosis Cataract - epidemiology Cataract Extraction - adverse effects Cataract Extraction - methods Cataracts Eye surgery Female Health Care Surveys Humans Lens Implantation, Intraocular - methods Male Medical research Medicine, Experimental Middle Aged Nigeria - epidemiology Postoperative Complications - epidemiology Prospective Studies Public health Rural Population Sex Distribution Surgery Teaching hospitals Time Factors Transplants & implants Treatment Outcome Visual Acuity |
| title | Outcome of cataract surgery in rural areas of Kaduna State, Nigeria |
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