Does prospective monitoring improve cataract surgery outcomes in Africa?

Yorston, David; Gichuhi, Stephen; Wood, Mark; Foster, Allen

doi:10.1136/bjo.86.5.543

Cited by 91 publications

(106 citation statements)

References 15 publications

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“…Guirou et al [6] in Mali, found after best correction 63%, 22.9%, and 14.1% respectively good, average, and bad results out of 2012 patients operated. If our results are superior to the results of these authors quoted above, they are similar to those of Yorston et al [11] in Kenya who found 82.9% good results after correction out of 1800 patients operated. It should be noted that biometrics were made in their studies, and complicated and traumatic cataracts were excluded.…”

Section: Discussioncontrasting

confidence: 41%

Does Eye Camp Contribute to the Fight against Blindness? Experience of the Central Region in Togo

Saa¹,

Maneh²,

Amedome³

et al. 2017

OJOph

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Aim: To evaluate results of cataract surgery in Eye Camp in rural areas. Patients and Method: This study set about the retrospective analysis of cases and operating reports of patients over the age of 10, operated for cataract in Eye Camp and fixed strategy from January, 2010 to December, 2012. Postoperative data were specified and compared. Results: Out of a total of 1145 patients operated, 577 (50.40%) were men compared with 568 (49.60%) women. The general mean age was 62 years, similar in Eye Camp and in fixed strategy. Sixty percent of patients were operated in Eye Camp. After 4 weeks of follow-up, 77% of patients were met again, and 83% among them showed good results (corrected visual acuity = 3/10). This rate of good results was 80.43% in Eye Camp against 87.7% in fixed strategy. We noted 18.25% of complications among which 11.25% were in Eye Camp. The functional outcomes of both strategies get closer to WHO standards. Conclusion: Eye Camp in the Central Region of Togo is an interesting alternative that contributes to the fight against blindness, even if postoperative follow-up is still to be improved.

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Section: Discussioncontrasting

confidence: 41%

Does Eye Camp Contribute to the Fight against Blindness? Experience of the Central Region in Togo

Saa¹,

Maneh²,

Amedome³

et al. 2017

OJOph

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“…By contrast, one decade ago most people in India and Kenya had a VA < 3/60 before undergoing cataract surgery. 15,16 It may be that the relatively recent and dramatic increase in the number of cataract operations reported in India has not yet had an impact on the number of people who are blind from cataract (still estimated at 7.75 million). 17 This may explain India's position as an outlier in Fig.…”

Section: Discussionmentioning

confidence: 99%

Preoperative visual acuity among cataract surgery patients and countries’ state of development: a global study

Shah¹,

Gilbert²,

Razavi³

et al. 2011

Bull World Health Org

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“…Although there have been no randomised trials to prove that OCO can operate safely, published audits indicate that, with appropriate case selection, their results are as good as the ophthalmologists' outcomes. 16 The use of nonphysicians to perform cataract surgery is controversial, and is only justified in situations where there are less than four ophthalmologists per million population, and a cataract surgery ratio less than 2000. This means that they are unlikely to be deployed outside Africa.…”

Section: Personnelmentioning

confidence: 99%

“…This is associated with an improvement in surgical results. 16,33 Infrastructure and equipment Equipment for use in developing countries should be robust, effective, and simple to maintain. It must also be cheap!…”

Section: Organisation and Administrationmentioning

confidence: 99%

High-volume surgery in developing countries

Yorston

2005

Eye

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Background Cataract remains the world's leading cause of blindness. In the developing world, many eye clinics provide cataract surgery for only a small proportion of those in need. This is partly because of low demandFcaused by barriers related to awareness, bad services, cost, and distanceFand partly because of deficiencies in the supply of services. This article reviews innovations in cataract surgery in poor countries that are intended to reverse this trend. Conclusions Increasing the number of operations, through close involvement with the community, and improved surgical outcomes, enables the cost of surgery to be reduced, leading to further growth in volume. Recent innovations, such as low-cost intraocular lenses, and small-incision extracapsular cataract extraction, have contributed to improving the results of surgery without increasing the costs. Effective management enables the delivery of increasing the numbers of operations, while at the same time improving outcomes and controlling costs.

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Does prospective monitoring improve cataract surgery outcomes in Africa?

Cited by 91 publications

References 15 publications

Does Eye Camp Contribute to the Fight against Blindness? Experience of the Central Region in Togo

Does Eye Camp Contribute to the Fight against Blindness? Experience of the Central Region in Togo

Preoperative visual acuity among cataract surgery patients and countries’ state of development: a global study

High-volume surgery in developing countries

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