$Evaluation of postoperative refractive error correction after cataract surgery.$
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Evaluation of postoperative refractive error correction after cataract surgery.

Suboptimal cataract surgery outcomes remain a challenge in most developing countries. In Ghana, about 2 million people have been reported to be blind due to cataract with about 20% new cases being recorded yearly. The aim of this study was to evaluate postoperative correction of refractive errors af...

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Autores principales:	Ellen Konadu Antwi-Adjei, Emmanuel Owusu, Emmanuel Kobia-Acquah, Emmanuella Esi Dadzie, Emmanuel Anarfi, Seth Wanye
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0387e1d4f1574bdfa434e2ec760174d1
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spelling	oai:doaj.org-article:0387e1d4f1574bdfa434e2ec760174d12021-12-02T20:10:31ZEvaluation of postoperative refractive error correction after cataract surgery.1932-620310.1371/journal.pone.0252787https://doaj.org/article/0387e1d4f1574bdfa434e2ec760174d12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252787https://doaj.org/toc/1932-6203Suboptimal cataract surgery outcomes remain a challenge in most developing countries. In Ghana, about 2 million people have been reported to be blind due to cataract with about 20% new cases being recorded yearly. The aim of this study was to evaluate postoperative correction of refractive errors after cataract surgery in a selected eye hospital in Ashanti Region, Ghana. This was a retrospective study where medical records of patients (aged 40-100) who reported to an eye hospital in Ghana from 2013-2018 were reviewed. Included in the study were patients aged ≥40 years and patients with complete records. Data on patient demographics, type of surgery, intra-ocular lens (PCIOL) power, availability of biometry, postoperative refraction outcomes, pre- and postoperative visual acuity were analyzed. Data of two hundred and thirteen eyes of 190 patients who met the inclusion criteria were analyzed. Descriptive analysis and Chi-square test were carried out to determine the mean, median, standard deviation and relevant associations. The mean ± SD age was 67.21±12.2 years (51.2% were females). Small Incision Cataract Surgery (99.5%) with 100% IOL implants was the main cataract surgery procedure in this study. Pre-operative biometry was performed for 38.9% of all patients on their first eye surgery and 41.5% for second eye surgeries. About 71% eyes in this study were blind (presenting VA<3/60) before surgery; 40.4% had post-operative VA <3/60. Pre-existing ocular comorbidities discovered post- surgery, attributed to suboptimal visual outcomes. More than half (55.3%) of patients did not undergo postoperative refraction due to loss to follow-up. Year of surgery (p = .017), follow up visits< 2months (p < .0001) and discovered comorbidity post-surgery (p = .035) were the factors significantly associated with postoperative refraction. Myopia and compound myopic astigmatism were the dominant refractive error outcomes. The timing of post-operative refraction had a significant effect on postoperative refraction done. These findings indicate a clinically meaningful significance between completion of postoperative care and postoperative refraction done. Consequently, with settings in most developing countries, where less biometry is done, it is appropriate that post-operative refractive services are encouraged and done earlier to enhance the patients' expectations while increasing cataract surgery patronage.Ellen Konadu Antwi-AdjeiEmmanuel OwusuEmmanuel Kobia-AcquahEmmanuella Esi DadzieEmmanuel AnarfiSeth WanyePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252787 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ellen Konadu Antwi-Adjei Emmanuel Owusu Emmanuel Kobia-Acquah Emmanuella Esi Dadzie Emmanuel Anarfi Seth Wanye Evaluation of postoperative refractive error correction after cataract surgery.
description	Suboptimal cataract surgery outcomes remain a challenge in most developing countries. In Ghana, about 2 million people have been reported to be blind due to cataract with about 20% new cases being recorded yearly. The aim of this study was to evaluate postoperative correction of refractive errors after cataract surgery in a selected eye hospital in Ashanti Region, Ghana. This was a retrospective study where medical records of patients (aged 40-100) who reported to an eye hospital in Ghana from 2013-2018 were reviewed. Included in the study were patients aged ≥40 years and patients with complete records. Data on patient demographics, type of surgery, intra-ocular lens (PCIOL) power, availability of biometry, postoperative refraction outcomes, pre- and postoperative visual acuity were analyzed. Data of two hundred and thirteen eyes of 190 patients who met the inclusion criteria were analyzed. Descriptive analysis and Chi-square test were carried out to determine the mean, median, standard deviation and relevant associations. The mean ± SD age was 67.21±12.2 years (51.2% were females). Small Incision Cataract Surgery (99.5%) with 100% IOL implants was the main cataract surgery procedure in this study. Pre-operative biometry was performed for 38.9% of all patients on their first eye surgery and 41.5% for second eye surgeries. About 71% eyes in this study were blind (presenting VA<3/60) before surgery; 40.4% had post-operative VA <3/60. Pre-existing ocular comorbidities discovered post- surgery, attributed to suboptimal visual outcomes. More than half (55.3%) of patients did not undergo postoperative refraction due to loss to follow-up. Year of surgery (p = .017), follow up visits< 2months (p < .0001) and discovered comorbidity post-surgery (p = .035) were the factors significantly associated with postoperative refraction. Myopia and compound myopic astigmatism were the dominant refractive error outcomes. The timing of post-operative refraction had a significant effect on postoperative refraction done. These findings indicate a clinically meaningful significance between completion of postoperative care and postoperative refraction done. Consequently, with settings in most developing countries, where less biometry is done, it is appropriate that post-operative refractive services are encouraged and done earlier to enhance the patients' expectations while increasing cataract surgery patronage.
format	article
author	Ellen Konadu Antwi-Adjei Emmanuel Owusu Emmanuel Kobia-Acquah Emmanuella Esi Dadzie Emmanuel Anarfi Seth Wanye
author_facet	Ellen Konadu Antwi-Adjei Emmanuel Owusu Emmanuel Kobia-Acquah Emmanuella Esi Dadzie Emmanuel Anarfi Seth Wanye
author_sort	Ellen Konadu Antwi-Adjei
title	Evaluation of postoperative refractive error correction after cataract surgery.
title_short	Evaluation of postoperative refractive error correction after cataract surgery.
title_full	Evaluation of postoperative refractive error correction after cataract surgery.
title_fullStr	Evaluation of postoperative refractive error correction after cataract surgery.
title_full_unstemmed	Evaluation of postoperative refractive error correction after cataract surgery.
title_sort	evaluation of postoperative refractive error correction after cataract surgery.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/0387e1d4f1574bdfa434e2ec760174d1
work_keys_str_mv	AT ellenkonaduantwiadjei evaluationofpostoperativerefractiveerrorcorrectionaftercataractsurgery AT emmanuelowusu evaluationofpostoperativerefractiveerrorcorrectionaftercataractsurgery AT emmanuelkobiaacquah evaluationofpostoperativerefractiveerrorcorrectionaftercataractsurgery AT emmanuellaesidadzie evaluationofpostoperativerefractiveerrorcorrectionaftercataractsurgery AT emmanuelanarfi evaluationofpostoperativerefractiveerrorcorrectionaftercataractsurgery AT sethwanye evaluationofpostoperativerefractiveerrorcorrectionaftercataractsurgery
_version_	1718374982418956288

Evaluation of postoperative refractive error correction after cataract surgery.

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