Abstract
AIMS: Intraocular lens (IOP) implantation in sub-Saharan Africa is not the routine procedure of choice in the treatment of cataract. Previous series consist of small numbers of selected patients. The purpose of this study was to evaluate routine posterior chamber lens implantation in large numbers of consecutive patients. METHODS: 1059 cataract extractions with planned IOL (744 patients) were performed over a 1 year period from August 1993 to July 1994. RESULTS: 94.6% (1002) of eyes showed an improvement in visual acuity. A postoperative uncorrected acuity of 6/18 or better was attained in 41.7% of eyes, while 27.1% attained an uncorrected acuity of < 6/18 to 6/60. The commonest operative complication was posterior capsule rupture (11.4%). CONCLUSION: Extracapsular cataract extraction with posterior chamber lens implantation, performed in a well equipped clinic, can give satisfactory results in a developing country. Uncorrected visual acuity can be taken as an acceptable endpoint in the majority of cases.
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Selected References
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- Aylward G., Larkin D., Cooling R. Audit of cost and clinical outcome of cataract surgery. Health Trends. 1993;25(4):126–129. [PubMed] [Google Scholar]
- Borzeix A., Rivaud C., Lam A., Ancel J. M., Ruffin X., Faye M., Seck C. M. L'implantation de chambre postérieure en Afrique noire. A propos de 150 cas suivis pendant 18 mois. J Fr Ophtalmol. 1993;16(12):663–667. [PubMed] [Google Scholar]
- Desai P. The National Cataract Surgery Survey: II. Clinical outcomes. Eye (Lond) 1993;7(Pt 4):489–494. doi: 10.1038/eye.1993.107. [DOI] [PubMed] [Google Scholar]
- Egbert P. R., Buchanan M. Results of extracapsular cataract surgery and intraocular lens implantation in Ghana. Arch Ophthalmol. 1991 Dec;109(12):1764–1768. doi: 10.1001/archopht.1991.01080120148046. [DOI] [PubMed] [Google Scholar]
- Hemo I. Intraocular lens implantation in an underdeveloped country. J Cataract Refract Surg. 1987 Jul;13(4):414–416. doi: 10.1016/s0886-3350(87)80041-x. [DOI] [PubMed] [Google Scholar]
- Hennig A., Shrestha S. P., Foster A. Results and evaluation of high volume intracapsular cataract surgery in Nepal. Acta Ophthalmol (Copenh) 1992 Jun;70(3):402–406. doi: 10.1111/j.1755-3768.1992.tb08587.x. [DOI] [PubMed] [Google Scholar]
- Pe'er J., Wood M. Intraocular lens implantation in developing countries. J Cataract Refract Surg. 1990 Sep;16(5):621–623. doi: 10.1016/s0886-3350(13)80781-x. [DOI] [PubMed] [Google Scholar]
- Ruit S., Robin A. L., Pokhrel R. P., Sharma A., DeFaller J. Extracapsular cataract extraction in Nepal. 2-year outcome. Arch Ophthalmol. 1991 Dec;109(12):1761–1763. doi: 10.1001/archopht.1991.01080120145045. [DOI] [PubMed] [Google Scholar]