Acta Scientific Ophthalmology (ISSN: 2582-3191)

Research Article Volume 4 Issue 10

Visual Outcome after Cataract Surgery at Bhaktapur Eye Centre

Kripa Joshi1*, Sushma Duwal2, Jamuna Gurung3, Yogita Rajbhandari4, Aye Myat Mon5 and Manish Poudel6

1General Ophthalmologist, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal
2Vitreoretinal Surgeon, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal
3Lecturer, Gandaki Medical College, Pokhara, Nepal
4Refractive Surgeon, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal
5General Ophthalmologist, Mettashin Charity Hospital, Taunggyi, Myanmar
5Statistician, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal

*Corresponding Author: Kripa Joshi, General Ophthalmologist, Tilganga Institute of Ophthalmology, Gaushala, Kathmandu, Nepal.

Received: September 08, 2021; Published: September 25, 2021

Abstract

Objective: The aim of the study is to evaluate the visual outcome after cataract surgery at Bhaktapur eye centre.

Methodology: This was the retrospective study that included 161 eyes of 159 patients fulfilling the inclusion criteria who underwent cataract surgery either phacoemusification or manual small incision cataract surgery from September 2019 to November 2020 in Bhaktapur eye centre secondary level provided with permanent infrastructure to deliver outpatient and operation theatre services. The preoperative details, type of cataract surgery performed, intraoperative and postoperative complications and visual acuity at first day, first week and sixth to eighth postoperative week were retrieved.

Results: Maximum cases that underwent surgery were between 65 - 75 years followed by 75 - 85 years. The mean age was 67.7 ± 10.36 years and the male to female ratio was 0.51:1, 55 males and 106 females. 21.38% cases had associated comorbid diseases. Phacoemusification was performed in 67.8% and manual small-incision cataract surgery in 32.2%. At presentation, more than half that is 52.7% had best corrected visual acuity BCVA of less than 3/60. Intraoperative complications were found in 3.1% and corneal edema was the most common among postoperative complications. At 6 - 8 weeks follow up after surgery, 88.81% had BCVA 6/6-6/18, 9.93% had BCVA of 6/18-6/60.

Conclusion: This study showed that cataract surgery whether manual small incision cataract surgery or phacoemulsification offered good visual rehabilitation in maximum number of patients. Proper and timely management of complications and provision of refraction facility postoperatively would be a good way to improve visual outcome.

Keywords: Cataract Surgery; Visual Outcome; Complications

References

  1. Organisation Organisation WHO: world report on vision (2019).
  2. Khairallah M., et al. “Number of people Blind or Visually Impaired by Cataract Worldwide and in World Regions, 1990 to 2010”. Investigative Ophthalmology and Visual Science11 (2015): 6762-6769.
  3. Swenor BK., et al. “Visual impairment and incident mobility limitations: the health, aging and body composition study”. Journal of the American Geriatrics Society1 (2015): 46-54.
  4. Beaton K., et al. “Identifying indicators of early functional decline in community-dwelling older people: a review”. Geriatrics and Gerontology International2 (2015): 133-140.
  5. Pan CW., et al. “Increased difficulties in managing stairs in visually impaired older adults: a community-based survey”. PLoS One11 (2015): e0142516.
  6. Yuddha Dhoj Sapkota and Nepal Netra Jyoti Sangh. “Epidemiology and blindness study in Nepal (2012).
  7. Foster A. “Cataract and “Vision 2020-the right to sight” initiative”. British Journal of Ophthalmology 85 (2001): 635-637.
  8. Pizzarello L., et al. “Vision 2020: The right to sight: global initiative to eliminate avoidable blindness”. Archives of Ophthalmology4 (2004): 615-620.
  9. Pokharel GP., et al. “Prevalence of blindness and cataract surgery in Nepal”. British Journal of Ophthalmology 82 (1998): 600-605.
  10. Sapkota YD., et al. “Prevalence of blindness and cataract surgery in Gandaki zone, Nepal”. British Journal of Ophthalmology 90 (2006): 411-416.
  11. Sherchan A., et al. “Blindness prevalence and cataract surgery in Lumbini zone and Chitwan district of Nepal”. British Journal of Ophthalmology 94 (2010): 161-166.
  12. Dandona R., et al. “Awareness of eye diseases in an urban population in southern India”. Bulletin of the World Health Organization2 (2001): 96-102.
  13. Organisation WH. global initiative for the elimination of avoidable blindness: action plan 2006-2011.
  14. Thevi Thanigasalam MS., et al. “Factors Associated with complications and postoperative visual outcomes of cataract surgery; a study of 1632 cases”. Journal of Ophthalmic and Vision Research4 (2015).
  15. OO Olawoye., et al. “Visual outcome after cataract surgery at the University college Hospital;, Ibadan”. Annals of Ibadan Postgraduate Medicine1 (2019): 8-13.
  16. E Kobia-Acquah., et al. “Visual outcome after cataract surgery at the Sunyani regional hospital, Ghana”. EC Ophthalmology4 (2018): 181-188.
  17. Sumathi Matta., et al. “Cataract surgery Visual outcomes and associated risk factors in secondary level Eye care centers of LV Prasad Institute, India”. Plos one1 (2016).
  18. Jyotee Trivedy. “Cataract and refractive surgeon. Outcomes of high volume cataract surgeries at a Lions sight first Eye hospital in Kenya”. Nepalese Journal of Ophthalmology5 (2011): 31-38.

Citation

Citation: Kripa Joshi., et al. “Visual Outcome after Cataract Surgery at Bhaktapur Eye Centre". Acta Scientific Ophthalmology 4.10 (2021): 29-33.

Copyright

Copyright: © 2021 Kripa Joshi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 25, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US