VISUAL OUTCOME AND SELF-SATISFACTION AFTER CATARACT SURGERY IN PATIENTS ATTENDING SHAHEED DR. ASO HOSPITAL, SULAIMANIYAH CITY, IRAQ
DOI:
https://doi.org/10.17656/jsmc.10372Keywords:
Cataract, Phacoemulsification, Visual outcome, Patient satisfactionAbstract
Background
Cataract is a natural lens opacification and the leading cause of reversible blindness. Globally, it causes 50-90% of all blindness in developing countries. However, there are no available methods to prevent or treat cataracts rather than surgery; thus, greater attention is needed to guarantee the adequate performance of the surgery.
Objectives
To detect the cataract surgery visual outcome and the patient’s satisfaction in Sulaimaniyah city, regardless of induced changes in corneal curvatures, size of the pupil, depth of the anterior chamber, and intraocular lens properties.
Patients and Methods
This cross-sectional study was conducted on 160 patients who attended Shaheed Dr. Aso hospital after cataract surgery. We interviewed the patients and obtained their clinical information at least three months postoperatively. Patient satisfaction was measured as unfair, fair, reasonable, and sound. In addition, with clinical data from our questionnaire, we assessed factors associated with poor outcomes. Then, visual acuity (VA) was measured and announced as borderline, exemplary, or excellent.
Results
The mean age of participants who underwent cataract surgery was 63.74±11.2 years, of which 63.7% were female. We found that the postoperative mean VA gradually decreased with age. We also compared the obtained data with vision satisfaction. Consequently, we found that patient satisfaction was significantly correlated with the visual outcome.
Conclusion
The visual outcome was excellent in younger patients, those done in private sectors, and patients with no ocular comorbidities. Patient satisfaction was strongly related to their graphic work.
References
Lam D, Rao SK, Ratra V, et al. cataract. Nature Reviews Disease Primers. 2015;1(1):1-15. DOI: https://doi.org/10.1038/nrdp.2015.14
Lamoureux EL, Fenwick E, Pesudovs K, Tan D. The impact of cataract surgery on quality of life. Current Opinion in Ophthalmology. 2011;22(1):19-27. DOI: https://doi.org/10.1097/ICU.0b013e3283414284
Kauh CY, Blachley TS, Lichter PR, Lee PP, Stein JD. Geographic variation in the rate and timing of cataract surgery among US communities. JAMA Ophthalmology. 2016;134(3):267-276. DOI: https://doi.org/10.1001/jamaophthalmol.2015.5322
McCannel CA, Bhatti MT. The Basic and Clinical Science Course of the American Academy of Ophthalmology: The 50th Anniversary of a Unicorn Among Medical Textbooks. JAMA Ophthalmology. 2022;140(3):225-226. DOI: https://doi.org/10.1001/jamaophthalmol.2021.6173
Shahdadi H, Aminifard MN, Balouchi A, Rafiemanesh H, Allahyari J. Frequency of cataract in Iran: A meta-analysis and systematic review. Middle East African journal of ophthalmology. 2018;25(1):40. DOI: https://doi.org/10.4103/meajo.MEAJO_300_17
Nagamoto T, Oshika T, Fujikado T, et al. Clinical characteristics of congenital and developmental cataract undergoing surgical treatment. Japanese Journal of Ophthalmology. 2015;59(3):148-156. DOI: https://doi.org/10.1007/s10384-015-0370-8
Haripriya A, Sonawane H, Thulasiraj R. Changing techniques in cataract surgery: how have patients benefited? Community Eye Health. 2017;30(100):80.
Mollazadegan K, Lundström M. A study of the correlation between patient - reported outcomes and clinical outcomes after cataract surgery in ophthalmic clinics. Acta Ophthalmologica. 2015;93(3):293-298. DOI: https://doi.org/10.1111/aos.12490
Lindfield R, Vishwanath K, Ngounou F, Khanna RC. The challenges in improving the outcome of cataract surgery in low and middle-income countries. Indian Journal of Ophthalmology. 2012;60(5):464-469. DOI: https://doi.org/10.4103/0301-4738.100552
Hussen MS, Gebreselassie KL, Seid MA, Belete GT. Visual outcome of cataract surgery at Gondar University Hospital Tertiary Eye Care and Training Center, North West Ethiopia. Clinical Optometry. 2017;9:19-23. DOI: https://doi.org/10.2147/OPTO.S122953
Szakáts I, Sebestyén M, Tóth É, Purebl G. Dry eye symptoms, patient-reported visual functioning, and health anxiety influencing patient satisfaction after cataract surgery. Current Eye Research. 2017;42(6):832-836. DOI: https://doi.org/10.1080/02713683.2016.1262429
Assil KK, Greenwood MD, Gibson A, Vantipalli S, Metzinger JL, Goldstein MH. Dropless cataract surgery: modernizing perioperative medical therapy to improve outcomes and patient satisfaction. Current Opinion in Ophthalmology. 2021;32:S1-S12. DOI: https://doi.org/10.1097/ICU.0000000000000708
Olawoye O, Ashaye A, Bekibele C, Ajayi B. Visual outcome after cataract surgery at the university college hospital, Ibadan. Annals of Ibadan Postgraduate Medicine. 2011;9(1):8-13. DOI: https://doi.org/10.4314/aipm.v9i1.72428
Norregaard JC, Hindsberger C, Alonso J, et al. visual outcomes of cataract surgery in the United States, Canada, Denmark, and Spain: report from the international cataract surgery outcomes study. Archives of Ophthalmology. 1998;116(8):1095-1100. DOI: https://doi.org/10.1001/archopht.116.8.1095
McKee M, Whatling JM, Wilson JL, Vallance-Owen A. Comparing outcomes of cataract surgery: challenges and opportunities. Journal of Public Health. 2005;27(4):348-352. DOI: https://doi.org/10.1093/pubmed/fdi057
Sonoran E-a, Tripathi V, Bridgemohan P, Sharma S. A retrospective study on the outcomes of cataract surgery in an Eastern Regional Health Authority hospital of Trinidad and Tobago. PeerJ. 2015;3:e1222. DOI: https://doi.org/10.7717/peerj.1222
Lindfield D, Ritchie RW, Griffiths MF. ‘Phaco–ECP’: combined endoscopic cyclophotocoagulation and cataract surgery to augment medical control of glaucoma. BMJ Open. 2012;2(3):e000578. DOI: https://doi.org/10.1136/bmjopen-2011-000578
Wasfi EI, Pai P, Abd-Elsayed AA. Patient satisfaction with cataract surgery. International Archives of Medicine. 2008;1(1):1-6. DOI: https://doi.org/10.1186/1755-7682-1-22
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Bakhtiar Qadir Hamasalh
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This work is licensed under 