Cataract surgery in West Africa: is couching still a choice?

Signes-Soler, Isabel; Javaloy, Jaime; Montés‐Micó, Robert; Muñoz, Gonzalo

doi:10.1111/j.1755-3768.2011.02361.x

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…This may be explained by incomplete execution of eye care programmes at a national level, poor patient education and outdated practices such as “couching,” and restricted resource allocation to eye care due to competing health issues. This has furthermore resulted in reduced access to eye care providers, from patients being informally charged for surgeons' additional salary compensation …”

Section: Discussionmentioning

confidence: 99%

Longitudinal changes in global cataract surgery rate inequality and associations with socioeconomic indices

Yan

Wang

Wijngaarden

et al. 2018

Clinical Exper Ophthalmology

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Importance Cataract is the leading cause of blindness and the second leading cause of vision impairment. The majority of people with vision impairment reside in low‐resource settings with limited access to cataract surgery and services. Background Cataract surgery rate (CSR) is a proxy measure for eye care service delivery and estimating the burden of cataract disease. This research aims to evaluate the longitudinal changes of CSR inequality globally and by income groups. Design Systematic review. Participants Studies published from January 2000 to December 2015 were considered for inclusion into the review. Methods CSR data were retrieved from a systematic review of published literature (OVID Medline, Embase, PubMed, ISI, Web of Science), unpublished reports and data repositories. Main Outcome Measures Inequality of CSR was measured on a global scale and between countries grouped by income levels using the Gini coefficient and concentration index, with respect to the human development index (HDI). Results Overall, correlations between HDI and gross domestic product (GDP) per capita vs CSRs were observed with R2 values of 49.2% (β = 5.01, P < 0.001) and 38.9% (β = 0.56, P < 0.001), respectively. Analysis of longitudinal CSR data using generalized estimation equation models revealed strong associations between CSR and HDI (P < 0.001), GDP (P < 0.001) and the proportion of people aged ≥50 (P = 0.001). Overall, the trend of inequality in worldwide CSR remained relatively stable. Conclusions and Relevance Inequalities in cataract service provision were found between countries grouped by income and associated with socioeconomic indicators.

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Section: Discussionmentioning

confidence: 99%

Longitudinal changes in global cataract surgery rate inequality and associations with socioeconomic indices

Yan

Wang

Wijngaarden

et al. 2018

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

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“…Although the WHO recommendations for visual improvement after cataract surgery implies higher levels of CDVA, it has been reported that the circumstances which affect the patients (including cultural level) in mass campaigns developed in low-income countries may affect the visual records. 4 …”

Section: Discussionmentioning

confidence: 99%

“… 2 3 In West Africa, the prevalence of cataract in adults is 40 years and older range from 21% to 62.1%. 4 …”

Section: Introductionmentioning

confidence: 99%

“…Intracapsular cataract extraction (ICCE) has been used for many years in mass campaigns because it is a fast, cheap and easy technique that is sometimes carried out by trained local health agents (doctors or specialized nurses). 4 7 However, the rate of postoperative complications and in general, the optical problems derived from aphakia, with a total dependence on spectacles and difficulties related to anisometropia represent serious limitations in broad application of ICCE.…”

Section: Introductionmentioning

confidence: 99%

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Safety and efficacy of the transition from extracapsular cataract extraction to manual small incision cataract surgery in prevention of blindness campaigns

Signes-Soler

Javaloy

Muñoz³

et al. 2016

Middle East Afr J Ophthalmol

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Purpose:To compare the safety and the visual outcomes of two experienced cataract surgeons who converted from extracapsular cataract extraction (ECCE) to manual small incision cataract surgery (MSICS) during a campaign for the prevention of blindness.Methods:Two surgeons used the ECCE technique (ECCE group) during a campaign in Burkina Faso on 93 consecutive cataract patients with a corrected distance visual acuity (CDVA) <20/80 in the best eye. Both surgeons used MSICS for the first time on 98 consecutive cases in another campaign in Kenya after theoretical instructional courses.Results:There were no significant differences in CDVA at 3 months postoperatively. There were 69% of eyes with uncorrected distance visual acuity ≥20/60 in the MSICS group and 49% eyes in the ECCE group. Spherical equivalents ranged between −1D and +1D in 55% of the MSICS group versus 43% in the ECCE group. There were significant differences in the changes in the vertical component of astigmatism (J45) but not the horizontal (J0) component. There were no significant differences in the intraoperative complications. The most common postoperative complication was corneal edema on the first day in 40.86% and 19.38% of the ECCE and MSICS groups, respectively.Conclusion:Transitioning from ECCE to MSICS for experienced cataract surgeons in surgical campaigns is safe. The rate of complications is similar for both techniques. Slightly better visual and refractive outcomes can be achieved due to the decreased induction of corneal astigmatism.

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Cataract surgery in West Africa: is couching still a choice?

Cited by 2 publications

References 3 publications

Longitudinal changes in global cataract surgery rate inequality and associations with socioeconomic indices

Longitudinal changes in global cataract surgery rate inequality and associations with socioeconomic indices

Safety and efficacy of the transition from extracapsular cataract extraction to manual small incision cataract surgery in prevention of blindness campaigns

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