Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest Ethiopia
Jemmal Mohammed,1 Sahilu Assegid,2 Lata Fekadu,2 Teshome Kabeta2 1Department of Ophthalmology, Faculty of Medical Science, Institute of Health, Jimma University, Jimma, Ethiopia; 2Department of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Jimma, EthiopiaCorresponden...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-11-01
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| Series: | Clinical Ophthalmology |
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| Online Access: | https://www.dovepress.com/cataract-surgery-visual-outcome-and-associated-factors-among-adults-at-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1797636623393882112 |
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| author | Mohammed J Assegid S Fekadu L Kabeta T |
| author_facet | Mohammed J Assegid S Fekadu L Kabeta T |
| author_sort | Mohammed J |
| collection | DOAJ |
| description | Jemmal Mohammed,1 Sahilu Assegid,2 Lata Fekadu,2 Teshome Kabeta2 1Department of Ophthalmology, Faculty of Medical Science, Institute of Health, Jimma University, Jimma, Ethiopia; 2Department of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Lata Fekadu, Jimma University, Institute of Health, Faculty of Public Health, Department of Epidemiology, PO Box 378, Jimma, Ethiopia, Tel +251911924107, Email latafekadu@gmail.comBackground: Cataract is the leading cause of blindness and the second leading cause of visual impairment worldwide, accounting for 51% and 33% of all cases, respectively, in low- and medium-income countries bearing a disproportionately high burden. Hence, this study aimed to assess the visual outcome of age-related cataract surgery and identify factors associated with patients’ postoperative visual outcomes in Jimma University Medical Center, Southwest Ethiopia.Methods: An institution-based cross-sectional study design was conducted among 386 cataract surgery patients from January 1, 2016, to December 30, 2017. The study participants were selected using a systematic random sampling technique. Data were collected by reviewing the selected patients’ medical records using a pre-tested checklist, entered into EpiData version 3.1, and exported to SPSS 20 for analysis. Proportions, summary statistics, and tables were used for presentations of the findings. Binary logistic regression was carried out to identify independent predictors of visual outcome. Findings were presented with adjusted odds ratios and their 95% confidence interval. A p-value < 0.05 was used to declare a statistically significant association.Results: About 231 individuals (59.8%) had poor visual results following cataract surgery. Furthermore, age > 70 (AOR = 3.64; 95% CI [1.35– 9.82]), preoperative ocular co-morbidities (AOR = 2.34; [1.32– 4.15]), incision-based cataract surgery (AOR = 7.11; [3.16– 16.02]), compared phacoemulsification operated by resident surgeons (AOR = 2.19; [1.23– 3.89]), presence of intraoperative complication (AOR = 3.41; [1.47– 7.92]), lens remnant (AOR = 2.91; [1.11– 4.92]), ocular inflammation (OR = 2.56; [1.34– 4.92]), and striate keratopathy/corneal edema (AOR = 1.91; [1.07– 3.44]) were significantly associated with poor visual outcome.Conclusion: The visual outcome following cataract surgery fall below WHO recommendation. In this study, age, ocular co-morbidities, surgical method, surgeon status, intraoperative complication, SK, and ocular inflammation associated with post-operative Uveitis and anterior chamber reaction were associated with a poor visual outcome.Keywords: cataract surgery, visual outcome, Jimma University Medical Center |
| first_indexed | 2024-03-11T12:36:41Z |
| format | Article |
| id | doaj.art-7e8af3d0505644899ad28bb5103571da |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-03-11T12:36:41Z |
| publishDate | 2023-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-7e8af3d0505644899ad28bb5103571da2023-11-05T18:06:31ZengDove Medical PressClinical Ophthalmology1177-54832023-11-01Volume 173341335187867Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest EthiopiaMohammed JAssegid SFekadu LKabeta TJemmal Mohammed,1 Sahilu Assegid,2 Lata Fekadu,2 Teshome Kabeta2 1Department of Ophthalmology, Faculty of Medical Science, Institute of Health, Jimma University, Jimma, Ethiopia; 2Department of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Lata Fekadu, Jimma University, Institute of Health, Faculty of Public Health, Department of Epidemiology, PO Box 378, Jimma, Ethiopia, Tel +251911924107, Email latafekadu@gmail.comBackground: Cataract is the leading cause of blindness and the second leading cause of visual impairment worldwide, accounting for 51% and 33% of all cases, respectively, in low- and medium-income countries bearing a disproportionately high burden. Hence, this study aimed to assess the visual outcome of age-related cataract surgery and identify factors associated with patients’ postoperative visual outcomes in Jimma University Medical Center, Southwest Ethiopia.Methods: An institution-based cross-sectional study design was conducted among 386 cataract surgery patients from January 1, 2016, to December 30, 2017. The study participants were selected using a systematic random sampling technique. Data were collected by reviewing the selected patients’ medical records using a pre-tested checklist, entered into EpiData version 3.1, and exported to SPSS 20 for analysis. Proportions, summary statistics, and tables were used for presentations of the findings. Binary logistic regression was carried out to identify independent predictors of visual outcome. Findings were presented with adjusted odds ratios and their 95% confidence interval. A p-value < 0.05 was used to declare a statistically significant association.Results: About 231 individuals (59.8%) had poor visual results following cataract surgery. Furthermore, age > 70 (AOR = 3.64; 95% CI [1.35– 9.82]), preoperative ocular co-morbidities (AOR = 2.34; [1.32– 4.15]), incision-based cataract surgery (AOR = 7.11; [3.16– 16.02]), compared phacoemulsification operated by resident surgeons (AOR = 2.19; [1.23– 3.89]), presence of intraoperative complication (AOR = 3.41; [1.47– 7.92]), lens remnant (AOR = 2.91; [1.11– 4.92]), ocular inflammation (OR = 2.56; [1.34– 4.92]), and striate keratopathy/corneal edema (AOR = 1.91; [1.07– 3.44]) were significantly associated with poor visual outcome.Conclusion: The visual outcome following cataract surgery fall below WHO recommendation. In this study, age, ocular co-morbidities, surgical method, surgeon status, intraoperative complication, SK, and ocular inflammation associated with post-operative Uveitis and anterior chamber reaction were associated with a poor visual outcome.Keywords: cataract surgery, visual outcome, Jimma University Medical Centerhttps://www.dovepress.com/cataract-surgery-visual-outcome-and-associated-factors-among-adults-at-peer-reviewed-fulltext-article-OPTHcataract surgeryvisual outcomejimma university medical center |
| spellingShingle | Mohammed J Assegid S Fekadu L Kabeta T Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest Ethiopia Clinical Ophthalmology cataract surgery visual outcome jimma university medical center |
| title | Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest Ethiopia |
| title_full | Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest Ethiopia |
| title_fullStr | Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest Ethiopia |
| title_full_unstemmed | Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest Ethiopia |
| title_short | Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest Ethiopia |
| title_sort | cataract surgery visual outcome and associated factors among adults attended jimma university medical center jimma southwest ethiopia |
| topic | cataract surgery visual outcome jimma university medical center |
| url | https://www.dovepress.com/cataract-surgery-visual-outcome-and-associated-factors-among-adults-at-peer-reviewed-fulltext-article-OPTH |
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