Research Article

Anatomical and Functional Results of Cataract Surgery Performed During a Campaign Organized by the National Program for the Fight Against Blindness at the Health Center of Kobeni - Mauritania From 1-6/12/2024: About 127

Authors: Souleimane AD, Hamahoullah SL, Ahmed MM, Aminettou BY, Minnih A, Jiddou SB.

DOI: 10.33425/2639-9482.1056

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Abstract

Cataract is a major public health problem, particularly in developing countries and disadvantaged regions of the world, where the share of blindness due to cataract represents more than 50% of all eye conditions, compared to 5% in industrialized countries. Cataract also has the characteristic of being curable through simple surgery with spectacular results; however, effectively combating blindness from cataract requires not only an increase in the number of surgeries but also a specific monitoring of the quality of the operations.

This prospective study with a descriptive aim was conducted on 127 eyes operated for cataract during a surgical campaign organized by the PNLC in collaboration with the Qatari CR at the health center of Kobeni-Mauritania; with the goal of: Evaluating the functional results of cataract surgery during this campaign and the causes of poor outcomes. Data were collected using a standardized survey form, then entered using Microsoft Word 2016 and analyzed using IBM® SPSS® Statistics 23.0 and Microsoft Excel 2016.

We recruited and followed 127 eyes operated on for cataract. The average age of the patients was 68.5 years (40-104 years); the female sex was predominant with a sex ratio of 1.39 in favor of women. Comorbidities were present in 7.1%, and perioperative complications were present in 6.29% of patients, dominated by posterior capsule ruptures at 4.72%. We obtained 85.039% good visual outcomes; 14.96% of borderline results, according to recommendations; our functional results are below the WHO guidelines which recommend a rate of good functional outcomes (i.e., BCVA >= 3/10) greater than or equal to 90%.

Among the identified causes of poor outcomes: post-operative ametropia induced by surgery or the placement of an unsuitable implant and corneal dystrophy.

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