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Research Article Open access CC BY 4.0

Clinical Outcomes of Surgery for Age-related Cataract with Intraocular Lens Implantation in Two Hospitals in North-Central Nigeria

Alfin Ruth Jeneral

Ophthalmology Research: An International Journal · pp. 1–10 · Published 27 Jun 2023

10.9734/or/2023/v18i4390

Abstract

Aims: The study aimed to assess the post-operative presenting visual acuity (PVA) and best-corrected visual acuity (BCVA) from six weeks and above post-surgery, of patients operated for age-related cataract with biometry-calculated IOL power and available IOL power implantation, in two hospitals in Jos, Nigeria. Study Design:  Retrospective cross-sectional survey. Place and Duration of Study: Eye units of two mission Hospitals in Jos namely; Bingham University Teaching Hospital and the Faith Alive foundation Hospital, between June and August 2021. Methodology: Patients aged 40 years and above, who had undergone surgery for age-related cataract in the preceding 18 months in two hospitals in Jos and were six weeks or more post-surgery were consecutively enrolled into the study, after obtaining informed consent. Socio-demographic data and surgical history were obtained from patients and their surgical records. The PVA and BCVA were assessed and categorized based on World Health Organization guidelines.  Results: A total of 87 patients were examined within the study period. Post-operative PVA was good (≥6/18) in 32 (36.8%), borderline (<6/18-6/60) in 41 (47.1%) and poor (<6/60) in 14 (16.1%) participants. After refraction, the proportion of good outcomes increased to 78.2% with only 8.1% of outcomes remaining poor. Biometry-calculated IOL power and available IOL power use did not significantly influence visual outcome (P=.645 and P=.146 for PVA and BCVA respectively). Conclusion: Majority of participants had post-operative PVA in the borderline category with residual uncorrected refractive error as the principal cause. Regardless of the IOL power implanted, surgery for age-related cataract enhanced patients’ vision. This study has shown that the presence of biometry is a guarantee of refractive success. Hence, refractive outcome audits are essential.

Age-related cataract outcome intra-ocular lens

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Cited by 2

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Ruth Jeneral Alfin, Joel James Alada · Ophthalmology Research: An International Journal · 2024

Visual acuity outcome and complications of cataract surgery in Nigeria: a systematic review and meta-analysis

S. Habib, Abdullahi Idris, F. Tsiga-Ahmed · International Health · 2026

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