Functional Results of Small Incision Cataract Surgery at the Nianankoro FOMBA Hospital in Segou, a Second Reference Centre in Mali

Abstract

Introduction: Cataract is the leading cause of curable blindness in the world. Its treatment is surgical. The aim was to evaluate the functional results of cataract surgery in a second referral centre in Mali (Nianankoro FOMBA Hospital in Ségou) with reference to the quality standards of the World Health Organisation. Patients and methods: Prospective descriptive study conducted between October 2018 and September 2019 in the ophthalmology department of the Nianankoro FOMBA hospital in Ségou, in patients aged 40 years and over with cataract. Results: During the study, 954 eyes were operated on, of which 522 (54.7%) were female. The average age was 64.28 years. The occupation of housewife was 52.7%. The main reason for consultation was the decrease in visual acuity with 96.1%. Hypertension and diabetes were 20.1% and 5.7% respectively. The initial uncorrected distance visual acuity was less than 1/10 in 94.2% of cases. At 30 days postoperatively, the good, average and poor results were respectively 82.92%, 12.01% and 5.06% without optical correction, decreasing to 92.56%, 4.51% and 2.93% respectively after optical correction. Discussion: These results met the World Health Organization standards which recommend a value greater than or equal to 80% without correction and greater than 90% with correction for good results and a value of less than 5% for poor results with correction. Conclusion: Cataract surgery with Phaco A is a simple solution that gives good results and is well adapted to our socio-economic context.