Retrospective study of the temporal approach in cataract surgery at Evangelical Church Winning All Hospital

Background: According to the World Health Organization, cataracts are one of the leading causes of visual impairment. On a global scale, at least 2.2 billion people have near or distance vision impairment, with cataracts accounting for 94 million of these cases. This poses a significant health risk....

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Main Authors: Atima O. Mayor, Idakwo Ugbede, Komolafe Oyeronke, Emmanuel O. Otomi, Eisuke Shimizu, Shintaro Nakayama, Emmanuel O. Balogun, Emeka J. Dingwoke, Orugun A. Jacob
Format: Article
Language:English
Published: AOSIS 2022-11-01
Series:African Vision and Eye Health
Subjects:
Online Access:https://avehjournal.org/index.php/aveh/article/view/782
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author Atima O. Mayor
Idakwo Ugbede
Komolafe Oyeronke
Emmanuel O. Otomi
Eisuke Shimizu
Shintaro Nakayama
Emmanuel O. Balogun
Emeka J. Dingwoke
Orugun A. Jacob
author_facet Atima O. Mayor
Idakwo Ugbede
Komolafe Oyeronke
Emmanuel O. Otomi
Eisuke Shimizu
Shintaro Nakayama
Emmanuel O. Balogun
Emeka J. Dingwoke
Orugun A. Jacob
author_sort Atima O. Mayor
collection DOAJ
description Background: According to the World Health Organization, cataracts are one of the leading causes of visual impairment. On a global scale, at least 2.2 billion people have near or distance vision impairment, with cataracts accounting for 94 million of these cases. This poses a significant health risk. Aim: The purpose of this study was to determine the indications for temporal approach cataract surgery, as well as the effects of surgically induced astigmatism on the temporal approach in cataract surgeries performed at the Evangelical Church Winning All (ECWA) Eye Hospital in Kano, Nigeria. Setting: Temporal approach in cataract surgery at Evangelical Church Winning All (ECWA) Kano: indications and surgically induced astigmatism. Methods: A retrospective study of patients who underwent cataract surgery at ECWA Eye Hospital, Kano, a tertiary specialist eye care centre, between January 2019 and December 2020. The patients underwent standard manual small incision cataract surgery on the temporal side of the eye. Biodata, previous ocular surgery, type and time of last ocular surgery, pre-operative and postoperative astigmatism, indications for temporal approach, immediate surgical complications and postoperative visual acuity were extracted from the patients’ clinical notes. Results: There were 63 eyes from 44 patients who had temporal approach manual small incision cataract surgery. Thirty (68.2%) of the 44 patients were male, while 14 (31.8%) were female. Cataracts were most common between the ages of 61 and 70 years, and most of the patients (n = 61, 96.8%) required temporal surgery. Astigmatism caused by surgery was minimal. The visual outcome was good, with a postoperative visual acuity of 6/18 – 6/60. Conclusion: Post-trabeculectomy cataract was the major indication for temporal approach cataract surgeries in the patients. The procedure was both safe and effective, resulting in improved visual outcomes. Contribution: Temporal approach manual small incision cataract surgery (MSICS) was indicated mainly after trabeculectomy. The technique is safe, and patients had better visual outcomes.
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spelling doaj.art-0b34dedecbb84dff85af3d79b965eb2d2022-12-22T03:47:04ZengAOSISAfrican Vision and Eye Health2413-31832410-15162022-11-01811e1e410.4102/aveh.v81i1.782529Retrospective study of the temporal approach in cataract surgery at Evangelical Church Winning All HospitalAtima O. Mayor0Idakwo Ugbede1Komolafe Oyeronke2Emmanuel O. Otomi3Eisuke Shimizu4Shintaro Nakayama5Emmanuel O. Balogun6Emeka J. Dingwoke7Orugun A. Jacob8Evangelical Church Winning All Eye Hospital, KanoEvangelical Church Winning All Eye Hospital, KanoEvangelical Church Winning All Eye Hospital, KanoEvangelical Church Winning All Eye Hospital, KanoDepartment of Ophthalmology, Keio University School of Medicine, TokyoDepartment of Ophthalmology, Keio University School of Medicine, TokyoDepartment of Biochemistry, Faculty of Life Sciences, Ahmadu Bello University, ZariaDepartment of Biochemistry, Faculty of Life Sciences, Ahmadu Bello University, ZariaEvangelical Church Winning All Eye Hospital, KanoBackground: According to the World Health Organization, cataracts are one of the leading causes of visual impairment. On a global scale, at least 2.2 billion people have near or distance vision impairment, with cataracts accounting for 94 million of these cases. This poses a significant health risk. Aim: The purpose of this study was to determine the indications for temporal approach cataract surgery, as well as the effects of surgically induced astigmatism on the temporal approach in cataract surgeries performed at the Evangelical Church Winning All (ECWA) Eye Hospital in Kano, Nigeria. Setting: Temporal approach in cataract surgery at Evangelical Church Winning All (ECWA) Kano: indications and surgically induced astigmatism. Methods: A retrospective study of patients who underwent cataract surgery at ECWA Eye Hospital, Kano, a tertiary specialist eye care centre, between January 2019 and December 2020. The patients underwent standard manual small incision cataract surgery on the temporal side of the eye. Biodata, previous ocular surgery, type and time of last ocular surgery, pre-operative and postoperative astigmatism, indications for temporal approach, immediate surgical complications and postoperative visual acuity were extracted from the patients’ clinical notes. Results: There were 63 eyes from 44 patients who had temporal approach manual small incision cataract surgery. Thirty (68.2%) of the 44 patients were male, while 14 (31.8%) were female. Cataracts were most common between the ages of 61 and 70 years, and most of the patients (n = 61, 96.8%) required temporal surgery. Astigmatism caused by surgery was minimal. The visual outcome was good, with a postoperative visual acuity of 6/18 – 6/60. Conclusion: Post-trabeculectomy cataract was the major indication for temporal approach cataract surgeries in the patients. The procedure was both safe and effective, resulting in improved visual outcomes. Contribution: Temporal approach manual small incision cataract surgery (MSICS) was indicated mainly after trabeculectomy. The technique is safe, and patients had better visual outcomes.https://avehjournal.org/index.php/aveh/article/view/782cataract surgerytemporal approachastigmatismvisual acuityecwa hospital
spellingShingle Atima O. Mayor
Idakwo Ugbede
Komolafe Oyeronke
Emmanuel O. Otomi
Eisuke Shimizu
Shintaro Nakayama
Emmanuel O. Balogun
Emeka J. Dingwoke
Orugun A. Jacob
Retrospective study of the temporal approach in cataract surgery at Evangelical Church Winning All Hospital
African Vision and Eye Health
cataract surgery
temporal approach
astigmatism
visual acuity
ecwa hospital
title Retrospective study of the temporal approach in cataract surgery at Evangelical Church Winning All Hospital
title_full Retrospective study of the temporal approach in cataract surgery at Evangelical Church Winning All Hospital
title_fullStr Retrospective study of the temporal approach in cataract surgery at Evangelical Church Winning All Hospital
title_full_unstemmed Retrospective study of the temporal approach in cataract surgery at Evangelical Church Winning All Hospital
title_short Retrospective study of the temporal approach in cataract surgery at Evangelical Church Winning All Hospital
title_sort retrospective study of the temporal approach in cataract surgery at evangelical church winning all hospital
topic cataract surgery
temporal approach
astigmatism
visual acuity
ecwa hospital
url https://avehjournal.org/index.php/aveh/article/view/782
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