The Prevalence and Risk Factors of Post-Operative Corneal Decompensation after Cataract Extract among Patients in Khartoum Eye Hospital - Sudan June 2021 - January 2022


Authors : Rami Mohammed Hamid Elsunni; Dr. Nabila Elyas

Volume/Issue : Volume 9 - 2024, Issue 3 - March

Google Scholar : https://tinyurl.com/456can3a

Scribd : https://tinyurl.com/yp6pj63a

DOI : https://doi.org/10.38124/ijisrt/IJISRT24MAR203

Abstract : Background: Corneal decompensation is a medical condition characterized by opacity of the cornea. This condition arises as a result of mechanical injury caused by inadvertent contact of intraocular instruments with the cornea during surgery. Cataract extraction involves a surgical procedure to remove a clouded lens from the eye that has developed over, which can impede vision in the affected eye.  Objectives: To determine the prevalence and risk factors of post-operative corneal decompensation after cataract extraction according to the type of surgical procedure  Methodology: This is a Descriptive, retrospective, Cross sectional, hospital-based study, was conducted in Khartoum eye hospital, from June 2021 to January 2022. Patients who underwent cataract extraction between June 2021 - January 2022 Patients who were diagnosed with corneal decompensation were included. Data collection was conducted from medical record by using data sheet. The data will be analyzed via SPSS program (Statistical Package for The Social Sciences) and Microsoft Excel program. using chi square, t-test and correlation then be presented in the form of tables, bar charts and pie charts.  Results: About patient’s gender, males were 53(48.2%), females were 57(51.8%), patients from 70 – 79 years were 42(38.2%), 60 – 69 years were 33(30%), 50 – 59 years were 20(18.2%), and 40 – 49 years were 15(13.6%). About Diagnosed with symptoms of corneal Decompensation, yes 17(15.5%), No 93(84.5%), ; Extracapsular surgery was done in 55(50%) of patients, Phaco was done in 35(31.8%) of patients, and small incision cataract surgery was done in 20(18.2%) of patients, Glaucoma 7(15.5%) was the most common other contributing factors in followed by Trauma 4(36.4) and previous steroid use was 1(25%) respectively, About experience any intra-operative complications, no 108(98.2%) patients, yes 2(1.8%) patients.  Conclusion: Most of patients were females, between 70-79 years old, Extracapsular surgery was the most occuring type of surgery. Extracapsular surgery had the largest percentage of corneal decompensation. There was a notable correlation (significant association) that was observed between between gender, age and corneal decompensation.  Recommendations: Further research involving a larger sample size is necessary to validate the results of this study, Education programs should be developed to raise the awareness of patients.

Background: Corneal decompensation is a medical condition characterized by opacity of the cornea. This condition arises as a result of mechanical injury caused by inadvertent contact of intraocular instruments with the cornea during surgery. Cataract extraction involves a surgical procedure to remove a clouded lens from the eye that has developed over, which can impede vision in the affected eye.  Objectives: To determine the prevalence and risk factors of post-operative corneal decompensation after cataract extraction according to the type of surgical procedure  Methodology: This is a Descriptive, retrospective, Cross sectional, hospital-based study, was conducted in Khartoum eye hospital, from June 2021 to January 2022. Patients who underwent cataract extraction between June 2021 - January 2022 Patients who were diagnosed with corneal decompensation were included. Data collection was conducted from medical record by using data sheet. The data will be analyzed via SPSS program (Statistical Package for The Social Sciences) and Microsoft Excel program. using chi square, t-test and correlation then be presented in the form of tables, bar charts and pie charts.  Results: About patient’s gender, males were 53(48.2%), females were 57(51.8%), patients from 70 – 79 years were 42(38.2%), 60 – 69 years were 33(30%), 50 – 59 years were 20(18.2%), and 40 – 49 years were 15(13.6%). About Diagnosed with symptoms of corneal Decompensation, yes 17(15.5%), No 93(84.5%), ; Extracapsular surgery was done in 55(50%) of patients, Phaco was done in 35(31.8%) of patients, and small incision cataract surgery was done in 20(18.2%) of patients, Glaucoma 7(15.5%) was the most common other contributing factors in followed by Trauma 4(36.4) and previous steroid use was 1(25%) respectively, About experience any intra-operative complications, no 108(98.2%) patients, yes 2(1.8%) patients.  Conclusion: Most of patients were females, between 70-79 years old, Extracapsular surgery was the most occuring type of surgery. Extracapsular surgery had the largest percentage of corneal decompensation. There was a notable correlation (significant association) that was observed between between gender, age and corneal decompensation.  Recommendations: Further research involving a larger sample size is necessary to validate the results of this study, Education programs should be developed to raise the awareness of patients.

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