Visual outcomes of cataract surgery: An observational study of ten years from a tertiary eye care hospital in Pakistan

Ahsan, Shahid; Memon, Muhammad; Bukhari, Sadia; Mahmood, Tauseef; Fahim, Muhammad; Haseeb, Uzma; Arslan, Muhammad

doi:10.12669/pjms.37.7.4428

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…This difference may be attributed to the gradual progression of cataracts, which minimally affects patients' quality of life and leads to limited emotional fluctuations (Moreau and King, 2012). Alternatively, it could be due to patients in the early stages of cataract development and maintaining relatively good visual acuity (Ahsan et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

Zhang,

Cheng,

Liang

et al. 2024

Front. Psychol.

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BackgroundCataracts, characterized by a decrease in vision due to the clouding of the lens, can progress to blindness in advanced stages. The rising incidence of cataract cases has led to a significant number of patients experiencing negative emotions associated with vision loss, thereby diminishing their quality of life. In clinical practice, it is imperative for healthcare professionals to consider the psychological well-being of cataract patients. Currently, there is a scarcity of research focusing on psychological evaluations, such as assessing feelings of meaninglessness among individuals with cataracts.ObjectiveThis study aims to investigate the factors influencing the anxiety of existential meaninglessness and to explore the relationships among existential anxiety, Herth hope index levels and fear of progression in the elderly cataract-affected population. Additionally, it evaluates the effectiveness of Orem’s nursing care strategies.MethodsUtilizing a sociodemographic questionnaire, the Existential Meaninglessness Anxiety Scale (EM-A), Herth Hope Index Level Scale, and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), this research employed convenience sampling for a cross-sectional and intervention study. The retrospective study sample comprised 1,029 individuals, while the intervention study included 317. The intervention design assessed psychological changes in existential meaninglessness following Orem’s preoperative nursing interventions. Multiple linear regression analysis was employed to ascertain the determinants of EM-A within the population of elderly patients with senile cataracts. Pearson correlation analysis elucidated the relationship between EM-A, levels of hope, and the FoP-Q-SF among this demographic. Subsequent investigations, utilizing a t-test, evaluated the effects by comparing the data before and after the implementation of the interventions.ResultsThe correlation between EM-A, hope levels, and FoP-Q-SF was statistically significant (p < 0.05). Factors such as age, education level, alcohol consumption habits, hope levels, and FoP-Q-SF scores significantly affected EM-A scores (p < 0.05). Orem’s nursing framework significantly reduced existential anxiety (p < 0.05).ConclusionAmong elderly patients with cataracts, existential anxiety was generally moderate. Hope levels and fear of progression were closely associated with the EM-A. The novel Orem preoperative care model effectively addresses clinical issues. In clinical practice, it is crucial to address psychological problems and enhance patients’ quality of life.

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Section: Discussionmentioning

confidence: 99%

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

Zhang,

Cheng,

Liang

et al. 2024

Front. Psychol.

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“…Ahsan S et al 22 stated in their article that post-operative visual acuity was 6/6 in 90.4% patients who were operated for Phacoemulsification with Foldable lens and poor outcome was reported in 1.0%. However in present study, visual acuity on 1 st postoperative day was 6/6 in 15%, 6/9 in 59% and 6/12 in 23% of patients.…”

Section: Gender Distributionmentioning

confidence: 98%

Visual Outcomes of Cataract Surgery with Foldable Lens

Channa,

Bukhari,

Mirani

et al. 2023

J. Bahria Uni. Med. Dent. Coll.

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Objective: To determine the visual outcomes of cataract surgery with foldable lens at tertiary care eye hospital SindhPakistan. Study design and setting: An observational cross-sectional study carried out at Ghulam Muhammad Maher Medical College (GMMMC) Sukkur from February 2020 to January 2022. Methodology: A Non-probability purposive sampling was used. Inclusion were all individuals attending eye OPD with complaint of cloudy vision and diagnosed with cataract. Patients suffering from corneal diseases, chronic anterior uveitis intraocular pressure >22 mmHg, high ametropia and Diabetes Mellitus were excluded from the study. SPSS was used to analyze data. Results: Total of 153 patients were selected for this study. Age of the patients was from 40 to 72 years. 60% of patients were between 40-60 years age whereas 40% were above 60 years. Gender differences observed 73 (48%) female and 80(52%) male. On 1st postoperative day Best Corrected Visual acuity (BCVA) was 6/9 in 90 patients, 6/12 in 40 patients and 6/6 in 23 patients. After 1 week follow-up, BCVA was 6/6 in 100 patients, 6/9 in 33 patients and 6/12 in 20 patients. After 1 month, BCVA was recorded as 6/6 in 130 patients, 6/9 in 20 and 6/12 in 3 patients. Conclusion: Visual acuity outcome with foldable lens after Phacoemulsification was found excellent within one month. Implantation of foldable lens with phacoemulsification gives better results in terms of visual acuity.

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“…Clinical characteristics outcomes of cataract surgery have been reported by several populationbased studies conducted in South Asia. [6][7][8][9][10] However, in Nepal, there are very few studies that have reported the outcomes of cataract surgery in a large population.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics of Cataract Patients and Outcome of Cataract Surgery in Tertiary Care Hospital in Central Nepal

Shrestha

et al. 2022

Kathmandu Univ. Med. J.

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Background Cataract remains the leading cause of avoidable blindness in low-income countries such as Nepal. Despite the availability of surgical interventions for cataract in leading institutions, still a large number of patients from remote areas delay or have difficulty in getting treatment, present late or with complications. Objective To determine the clinical characteristics and visual outcome of patients undergoing cataract surgery in Tertiary Care Hospital in Central Nepal. Method We retrospectively reviewed the medical records of 138 patients who underwent cataract surgery at a tertiary care hospital from January 2018 to September 2022. R version 4.0.3 was used for the data analysis. Categorical variables are presented as frequency (percentages) and the numerical ones are presented as mean (standard deviation). Result During follow-up visits between one to three weeks, 91.9% out of 135 patients had normal/near normal presenting visual acuity and with best correction it was 96.9% out of 131 patients. About 1.6% out of 124 operated eyes still had moderate visual impairment after best correction when they visited for follow-up at 12 weeks. Conclusion The study findings underline the ongoing gap in increasing access to cataract treatment, given the large proportion of individuals who still presented extremely late.

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Visual outcomes of cataract surgery: An observational study of ten years from a tertiary eye care hospital in Pakistan

Cited by 3 publications

References 13 publications

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

Visual Outcomes of Cataract Surgery with Foldable Lens

Clinical Characteristics of Cataract Patients and Outcome of Cataract Surgery in Tertiary Care Hospital in Central Nepal

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