Jsmc-10372

VISUAL OUTCOME AND SELF-SATISFACTION AFTER CATARACT SURGERY IN PATIENTS ATTENDING SHAHEED DR. ASO HOSPITAL, SULAIMANIYAH CITY, IRAQ

Bakhtiar Qadir Hamasalh a

a Department of Surgery, College of Medicine, University of Sulaimani, Sulaimani, Iraq.

Submitted: 15/4/2022; Accepted: 16/6/2022; Published: 21/9/2022

DOI Link: https://doi.org/10.17656/jsmc.10372

ABSTRACT

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.

KEYWORDS

Cataract, Phacoemulsification, Visual outcome, Patient satisfaction.

References

1. Lam D, Rao SK, Ratra V, et al. cataract. Nature Reviews Disease Primers. 2015;1(1):1-15.

2. 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.

3. 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.

4. 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.

5. 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.

6. 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.

7. Haripriya A, Sonawane H, Thulasiraj R. Changing techniques in cataract surgery: how have patients benefited? Community Eye Health. 2017;30(100):80.

8. 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.

9. 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.

10. 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.

11. 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.

12. 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.

13. 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.

14. 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.

15. 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.

16. 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.

17. 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.

18. Wasfi EI, Pai P, Abd-Elsayed AA. Patient satisfaction with cataract surgery. International Archives of Medicine. 2008;1(1):1-6.

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