DOI: DOI: 10.36347/gamj.2023.v04i02.007

Pages: 75-79

In order to improve the quality of cataract surgery services, an evaluation of the functional results of cataract surgery was carried out at the Fana referral health centre. This was a prospective study of patients aged 40 and over operated on for cataracts from December 2017 to May 2018. The results were analyzed using Monitoring Cataract Surgical Outcome (MCSO) software of 169 eyes of operated patients, 141 eyes were included with an average age of 65.45 years. Manual phaco-Alternative without sutures and extra capsular extraction, with implantation in the posterior chamber in 99.3%, were the main surgical techniques. Operative and postoperative complications were respectively vitreous loss (3.6%), corneal edema (9.9%) and opacification of the posterior capsule (6.4%).Functional results indicate that 76.6% of patients had good visual acuity (≥3/10) with the correction worn. The poor results weredue to pre-existing ocular comorbidities (7.8%). These results are below the WHO standards which recommend aVA>80% for the good result and VA<5% for the bad result. Identifying the causes of poor outcomes draws attention to improving case selection and long-term follow-up.