Aim:The aim of this study was to determine the visual outcome
of patients who had cataract surgery in the University College
Hospital Ibadan.Methodology:This is an observational descriptive, longitudinal
study of consecutive patients undergoing cataract surgery at
the University College Hospital conducted between May and
October 2007. A total of 184 patients who presented to the
hospital and met the inclusion criteria were recruited into the
study. Patients were examined preoperatively, 1st day
postoperatively and 8th week postoperatively.Results:The mean age was 66.5 years; and the male to female
ratio was 1.2:1. Preoperatively, 137 patients (74.5%) were blind
in the operated eye, while 39 patients (23.6%) were blind in
both eyes at presentation. At 1st day postoperatively, 87 patients
(47.3%) had pinhole visual acuity of 6/6-6/18. Best corrected
vision after refraction eight weeks postoperatively showed that
127 patients out of 161 patients (78.8%) had good vision while
28 patients (17.4%) had borderline vision, and six patients (3.8%)
had severe visual impairment after refraction. The number of
bilaterally blind patients also reduced from 39 (23.6%) to one
(0.6%). Uncorrected refractive error was the commonest cause
of poor vision prior to refraction. Glaucoma was the commonest
ocular co-morbidity accounting for poor vision in 9.1% of
patients eight weeks after cataract surgery.Conclusion:This study demonstrates that good results can be
obtained with cataract surgery and intraocular lens implantation
in the developing world. More attention should be directed
towards ensuring that successful outcomes are indeed being
realized by continued monitoring of postoperative visual
outcomes and prompt refraction for all patients.