Long-Term Outcomes of Phacoemulsification Surgeries at ECWA Eye Hospital: A Prospective Clinical Cohort Study.

IF 1.8 4区 医学 Q3 OPHTHALMOLOGY Journal of Ophthalmology Pub Date : 2024-07-15 eCollection Date: 2024-01-01 DOI:10.1155/2024/2562064
Mayor Orezime Atima, Ugbede Idakwo, Oyeronke Komolafe, Eisuke Shimizu, Nakayama Shintaro, Emmanuel Oluwadare Balogun, Emeka John Dingwoke, Ayodele Jacob Orugun, Olalekan Adebayo Ogundare, Pam Douglas Jah
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Abstract

Background: Phacoemulsification has proven to be a breakthrough technique in cataract surgery. Its popularity has grown dramatically as procedures and equipment have advanced, improving both safety and efficiency. This study presents long-term outcomes from phacoemulsification surgeries performed at the Evangelical Church Winning All (ECWA) Eye Hospital, a tertiary eye care center.

Method: This prospective clinical cohort study followed standard practices for operations performed under local anesthesia. Ophthalmologists evaluated long-term outcomes and predictors of improved visual acuity after phacoemulsification cataract surgery. The visual recovery of the patients over time was evaluated, and the factors that influence the gains in vision were identified.

Results: A total of 177 patients were subjected to treatment at our facilities during the study period. There were 116 male and 61 female patients, which resulted to a male-to-female ratio of 1 : 0.53. The average age of the patients was 59.18 years with a standard deviation of 11.38 years. Of the 259 eyes treated, 249 eyes (96.1%) achieved a high success rate with visual acuity of 6/6 - 6/18. Ten (10) eyes (3.9%) had moderate acuity between <6/18 and 6/60. Follow-up examinations over five years after phacoemulsification showed poor vision outcomes among old patients. The primary factor that affected improvement in visual acuity among patients was amblyopia, present in 30% of cases. Posterior capsular opacification and macular edema collectively accounted for 20% of poor vision cases, while optic atrophy, glaucoma, and retinal hemorrhage each represented approximately 10% of poor vision cases.

Conclusions: The phacoemulsification approach demonstrated a highly effective restoration of vision for the vast majority, while long-term data analysis indicated the potential for age-related variability in postoperative visual gains.

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爱西华眼科医院超声乳化手术的长期疗效:前瞻性临床队列研究。
背景:事实证明,超声乳化术是白内障手术中的一项突破性技术。随着手术方法和设备的不断进步,其安全性和效率都有了很大提高,因此它也越来越受欢迎。本研究介绍了在福音教会全赢眼科医院(一家三级眼科医疗中心)进行的超声乳化手术的长期疗效:这项前瞻性临床队列研究遵循了在局部麻醉下进行手术的标准做法。眼科医生对超声乳化白内障手术后的长期疗效和视力改善的预测因素进行了评估。结果:研究期间,共有 177 名患者在我们的医疗机构接受了治疗。其中男性患者 116 人,女性患者 61 人,男女比例为 1 :0.53.患者的平均年龄为 59.18 岁,标准差为 11.38 岁。在接受治疗的 259 只眼睛中,有 249 只眼睛(96.1%)获得了较高的成功率,视力达到 6/6 - 6/18。10只眼睛(3.9%)的视力在结论之间,属于中度视力:超声乳化法对绝大多数人的视力恢复非常有效,而长期数据分析显示,术后视力提高可能存在与年龄相关的变异。
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来源期刊
Journal of Ophthalmology
Journal of Ophthalmology MEDICINE, RESEARCH & EXPERIMENTAL-OPHTHALMOLOGY
CiteScore
4.30
自引率
5.30%
发文量
194
审稿时长
6-12 weeks
期刊介绍: Journal of Ophthalmology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to the anatomy, physiology and diseases of the eye. Submissions should focus on new diagnostic and surgical techniques, instrument and therapy updates, as well as clinical trials and research findings.
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