Preoperative visual acuity of cataract patients at a tertiary hospital in sub-Saharan Africa: a 10-year review.

Purpose: To determine the preoperative visual acuity of cataract patients over a 10-year period in a tertiary facility as a means of auditing the cataract surgical services. Methods: A retrospective study of patients with age-related cataracts who had cataract surgery performed between January 2007...

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Publicado en:Therapeutic Advances in Ophthalmology Vol. 11
Autores principales: Ugalahi, Mary O., Uchendu, Obioma C., Ugalahi, Linda O.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2019
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      pub: Sage Publications Inc.
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        atl: Preoperative visual acuity of cataract patients at a tertiary hospital in sub-Saharan Africa: a 10-year review.
      aug:
        au:
          Ugalahi, Mary O.
          Uchendu, Obioma C.
          Ugalahi, Linda O.
        affil: Department of Ophthalmology, College of Medicine, University of Ibadan and University College Hospital, 200212 Ibadan, Ibadan, Nigeria
      sug:
        subj:
          Preoperative Care Trends
          Visual Acuity Evaluation
          Cataract Extraction Nigeria
          Tertiary Health Care Nigeria
          Human
          Nigeria
          Audit
          Retrospective Design
          Random Sample
          Probability
          Comorbidity
          Middle Age
          Aged
          Male
          Female
          Blindness
          Vision Disorders
          Health Services Accessibility
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: To determine the preoperative visual acuity of cataract patients over a 10-year period in a tertiary facility as a means of auditing the cataract surgical services. Methods: A retrospective study of patients with age-related cataracts who had cataract surgery performed between January 2007 and December 2016 at the University College Hospital, Ibadan. Systematic random sampling and probability proportionate to size were used to recruit a representative sample. Information on sociodemographic characteristics, preoperative visual acuity, ocular and systemic comorbidities were retrieved and analysed. Results: Of the 499 patients studied, males were 268 (53.7%) and their mean age was 67.69 (±9.51) years. The predominant visual acuity was hand motion 184 (36.9%) and yearly mean preoperative visual acuity was in the range of 0.0037–0.04 decimal. Conclusion: The mean preoperative visual acuity of patients in this facility did not change over the 10-year study period. Mean value of preoperative visual acuity remained within the range of blindness and did not improve over the decade. This could either be a reflection of visual impairment at which our patients seek care or an indication of the range of visual acuities at which surgeons are willing to offer cataract surgery in our environment. This trend has negative implications on the burden of cataract blindness as it reflects poor coverage of surgery for other levels of visual impairment due to cataract.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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