Functional results of cataract surgery using the phacoemulsification technique "The CADES/O experience

Abstract

Introduction: The practice of phacoemulsification remains exceptional in low-income countries, unlike in developed countries.

The general objective was to study the functional results of cataract surgery using the phacoemulsification technique with posterior chamber implant at CADES/O located at  University hospital Center Donka.

Material and methods: This was a prospective observational study for three months from 1^er  July to 30 September 2021. We included in our study all patients who performed cataract surgery per phacoemulsification technique with intra ocular lens (IOL) at CADES/O. Pre and post-operative visual acuity, intra and post-operative complications and factors related to poor outcomes were determined.

We classified postoperative visual acuities according to World Health Organisation recommendations into: good (VA ? 3/10), fair (1/10 ? VA ? 3/10) and poor (VA ? 1/10).

Results:During the study period, we were able to study the functional results of 159 eyes of the 159 operated patients. The average age was 64.28±12.5 years with extremes from 10 to 92 years. The most affected age group was 60-69 years (35.2%). The male sex dominated with 54.7% against 45.3% and a sex ratio of 1.2.  At 30 days post-op without correction, our results were good with 82.4%, average with 14.5% and bad with 3.1%.

Intraoperative, early postoperative and late postoperative complications were dominated by posterior capsular rupture with 10.7%, corneal oedema with 64.8% and posterior capsule opacification with 0.6% respectively.

Conclusion: At the end of this study, our results show that phaco-E offers a better visual recovery after cataract surgery with nevertheless a rehabilitation time of at least one month. It offers a good level of operative safety with a low complication rate.