Cataract surgery in surgical camps: outcomes in a rural area of Cameroon

Javaloy, Jaime; Signes-Soler, Isabel; Moya, Tomás; Litila, Siben

doi:10.1007/s10792-020-01580-5

Cited by 8 publications

(2 citation statements)

References 22 publications

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“…Guzek JP et al [15] in Ghana reported 3% posterior capsule ruptures [15]. The main postoperative complication was corneal edemas in 8.6% of patients, as was reported in other African studies [15,16]. Corneal edema is most often caused by manipulations in the anterior chamber and especially by manual removal of the lens nucleus.…”

Section: Discussionmentioning

confidence: 82%

Effects of Cataract Surgery on Patient’s Quality of Life

Ngoune

Kagmeni

Nomo

et al. 2023

JOJO

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Background and Objective: Vision impairment caused by cataracts impacts patients’ daily activities, affecting their quality of life. This study aims to assess patients’ quality of life after cataract surgery using the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25). Method: Participants were patients who had undergone cataract surgery at Yaounde Gyneco-Obstetrics and Pediatrics Hospital (HGOPY) and Essos Medico-Surgical Center between September 1, 2018, and May 31, 2019. Participants were evaluated preoperatively, 14 days after cataract surgery, and one month after cataract surgery.

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Section: Discussionmentioning

confidence: 82%

Effects of Cataract Surgery on Patient’s Quality of Life

Ngoune

Kagmeni

Nomo

et al. 2023

JOJO

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“…While mass screening programs have been performed on unselected populations in public areas, high-volume cataract surgery campaigns provide additional opportunity for IOP screening [ 4 ]. Cataract surgery campaigns are high-volume, safe and effective surgery efforts performed over a short period, typically a few days in a given location [ 7 ]. They have been implemented in several low and middle-income countries to increase cataract surgery rates in areas with limited access to eye care.…”

Section: Introductionmentioning

confidence: 99%

Intraocular pressure screening during high-volume cataract surgery outreach in Ethiopia

2022

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Introduction Glaucoma is the leading cause of irreversible blindness worldwide and is often undetected in resource-limited settings. Early screening and treatment of elevated intraocular pressure (IOP) reduces both the development and progression of visual field defects. IOP screening in developing countries is limited by access to ophthalmic equipment, trained ophthalmic staff, and follow up. High-volume cataract surgery outreaches in resource-limited countries provide ample opportunity for glaucoma screening, intervention and follow up. Methods This prospective cross-sectional study took place during a cataract outreach campaign sponsored by the Himalayan Cataract Project (HCP) in partnership with Felege Hiwot Hospital in Bahir Dar, Ethiopia, during April 5th – April 10th 2021. IOP was measured on the surgical eye of patients before undergoing small incision cataract surgery (SICS) using rebound tonometry with an iCare tonometer model IC100. Results Intraocular pressure (IOP) was measured in 604 eyes of 595 patients who received SICS. Mean IOP was 12.1 mmHg (SD = 5.0 mmHg). A total of 29 patients had an IOP greater than 21 mmHg representing 4.8% of total IOP measurements. A total of 17 patients received oral acetazolamide prior to surgery to acutely lower IOP. Six of these patients had their surgery delayed due to elevated IOP and 9 patients received excisional goniotomy at the time of SICS. A temporal approach during SCIS was taken for all patients with elevated IOP to allow for possible trabeculectomy at a future date. Discussion IOP screening during high-volume cataract outreach campaigns can be performed safely, accurately and on a large scale with minimal resources and supplemental training. Pre-operative IOP measurement can improve surgical care at the time of cataract surgery as well as help establish long-term follow up for patients with glaucoma.

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