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Purpose: The aim of the study was to document the visual outcome of cataract surgery in Sub-Saharan African population and to correlate this with acceptance of cataract surgery in the same population.
Material and Methods: This study was conducted in the Level II hospital UN mission, Feb 2006 to Nov 2006. All the patient undergoing cataract surgery in our field hospital were recruited in study. The preoperative and postoperative visual acuity was compared. The numbers of surgeries performed per month were documented for each of the eight months. The patients filled a proforma about the level of satisfaction with their visual outcome at six weeks.
Results: A total of 141 eyes of 136 patients who completed the minimum 6 weeks follow-up were included in the study. The average age of the patients at surgey was 57 years (age ranged from 10-78 years). There were 88 (64.7%) females and 48 (35.3%) males. A corrected vision of 6/18 or better was achieved in 124 eyes (88%). An uncorrected vision of 6/18 or better was obtained in 102 eyes (72.3%) at their last follow up visit. More than 95% of the patients were satisfied with their visual outcome. The number of patient undergoing cataract surgery gradually increased and it was at the peak in the last two months. There were only 22 patients operated in the first four months compared to 119 in the last four months.
Conclusion: The cataract extraction with IOL implantation gives good visual results, which in turn adds to the confidence of the potential cataract surgery patient. Therefore more patients report for the cataract surgery and which would help in increasing the rate of cataract surgery in the African population.
Salahuddin Ahmad, Khawaja Khalid Shoaib, , Muhammad Fayyaz, Teyyeb Azeem Janjua. (2010) Positive Impact of Good Visual Outcome on the Acceptance of Cataract Surgery in Sub-Saharan African Population, Pakistan Journal of Ophthalmology, Volume 26, Issue 3.
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