Auditoría de la cirugía de catarata senil en Cádiz: resultados visuales y complicaciones

Royo-Dujardin, Leticia; Alcalde-Vílchez, E.; Rúa, Enrique Rodríguez de la; Ruiz, José Pedro Novalbos

doi:10.1016/j.oftal.2017.12.005

Cited by 6 publications

(3 citation statements)

References 12 publications

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“…The mean age may be lower compared to other studies where the general population mean age is higher or because the cataract surgery threshold is different. [15,18,19,21] Generally, the pre-operative visual acuity was poor to moderate; comparable to that found in other low and middle-income countries like Nigeria, India and Saudi Arabia. [6,16,18] [23,24] Owing to limited experience, the surgeon did not use preoperative keratometry to decide the incision location until late in the year.…”

Section: Discussionsupporting

confidence: 77%

“…A similar conclusion was noted elsewhere. [6,15,19,21,31] Analysing the final best-corrected visual acuity, the results met the WHO recommendations and are comparable to other big database outcomes from well-equipped countries and private hospitals. In the RCO database study, postoperative visual acuity showed that 44% and 89% of all eyes achieved 0.00 and 0.…”

Section: Discussionsupporting

confidence: 67%

“…This was a good rate compared to other setups. [15,16] Fifty-five percent of participants were female. Their longevity and health-seeking behaviour are generally known to surpass that of their fellow males.…”

Section: Discussionmentioning

confidence: 99%

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Do Africans really need to go overseas for Phaco training? Performance audit of a locally trained phaco surgeon in rural Kenya

Niyonzima¹,

Gichuhi

Sitati

et al. 2019

Preprint

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Purpose: To audit phacoemulsification cataract surgeries performed independently after a short - term training completed in a rural hospital in Kenya, and to benchmark the outcomes against WHO recommendations. Methods: This retrospective case-series study recruited patients who had had phacoemulsification cataract surgery at Sabatia Eye Hospital from January to December 2018. All the surgeries were performed by a single surgeon following a brief training in the same center. Data were collected retrospectively using a detailed questionnaire. Results: Of the one hundred and twenty eyes operated on during this period, one-hundred and sixteen eyes of 86 patients met the inclusion criteria. The mean age was 62 years and the majority of the eyes (83.6%) had vision less than 6/18 preoperatively. Co-morbidities included diabetic retinopathy (3.4%), age-related macular degeneration (2.6%), trauma (1.7%) and glaucoma (0.9%). Surgical complications were not severe enough to affect the final best-corrected visual acuity, unlike the comorbidities that were negatively correlated with visual outcomes (p-value< 0.001). Good outcomes were 81% against a WHO target of 80% for uncorrected visual acuity category, and 96.6% in the best-corrected visual acuity category against a target of 90%. The Royal College of Ophthalmology database of cataract surgery outcomes and the European Registry of Quality Outcomes for cataract and refractive surgery had comparable results. Conclusions: This local training model was based on apprenticeship and skills transfer. It can achieve high-quality visual outcomes meeting WHO recommendations.

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