Factors associated with uptake of second eye cataract surgery amongst patients attending University College Hospital, Ibadan, Nigeria

Nafisat Ijaiya-Olatoke; Bolutife Olusanya; Charles Bekibele

Authors

Nafisat Ijaiya-Olatoke Department of Ophthalmology, University College Hospital, Ibadan, Nigeria
Bolutife Olusanya Department of Ophthalmology, College of Medicine, University of Ibadan, Nigeria
Charles Bekibele Department of Ophthalmology, College of Medicine, University of Ibadan, Nigeria

Keywords:

Cataract, First eye cataract surgery (FECS), Second eye cataract 4surgery (SECS)

Abstract

Purpose: To identify the factors affecting the uptake of second eye cataract surgery in patients with bilateral visually significant cataract with a view to making appropriate recommendations for improved uptake.

Methods: This was a cross-sectional and hospital-based study, carried out at the Eye clinic of the University College Hospital (UCH), Ibadan, Nigeria. A total of 427 patients with bilateral age-related cataract, that had undergone cataract surgery in at least one eye, were recruited and administered a questionnaire to identify factors associated with uptake of second eye cataract surgery (SECS), as well as the barriers to uptake. Data was analyzed using IBM-SPSS version 25 and summary statistics are presented using frequency tables, means and rates. Chi–square test was used to test for associations between qualitative variables while Student’s T-test was used for quantitative variables.

Results: Only 124 (29.0%) underwent SECS within 2 years of the first eye cataract surgery (FECS) with an average interval of 12 ±7.4 months. Factors associated with uptake of SECS include having formal education (p=0.004) and counseling patients on the benefits of SECS and risk of hypermaturity- related complications (p<0.001). While the barriers include insufficient income (p<0.001) and telling patients the cataract is not mature (p=0.003).

Conclusion: Formal education and counselling patients on the benefits of SECS may improve the uptake of SECS while informing patients that “Cataract is not mature” may discourage uptake of SECS and should be avoided by ophthalmic professionals after FECS.

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References

Abdull MM, Sivasubramaniam S, Murthy GVS, Gilbert C, Abubakar T, Ezelum C, et al. Causes of blindness and visual impairment in Nigeria: The Nigeria national blindness and visual impairment survey. Investig Ophthalmol Vis Sci. 2009;50(9):4114–20.

Age Related or Senile Cataract: Pathology, Mechanism and Management [Internet]. [cited 2020 Jun 30]. Available from: https://www.researchgate.net/publication/304825686_Age_Related_or_Senile_Cataract_Pathology_Mechanism_and_Management

Castells X, Comas M, Alonso J, Espallargues M, Martínez V, García-Arumí J, et al. In a randomized controlled trial, cataract surgery in both eyes increased benefits compared to surgery in one eye only. J Clin Epidemiol. 2006 Feb;59(2):201–7.

Hoffmeister L, Román R, Comas M, Cots F, Bernal-Delgado E, Castells X. Time-trend and variations in the proportion of second-eye cataract surgery. BMC Health Serv Res. 2007;7:53

Meuleners LB, Feng YR, Fraser M, Brameld K, Chow K. Impact of first and second eye cataract surgery on physical activity: A prospective study. BMJ Open. 2019 Mar 1;9(3): e024491

Castells X, Alonso J, Ribó C, Casado A, Buil JA, Badia M, et al. Comparison of the results of first and second cataract eye surgery. Ophthalmology. 1999 Apr 1;106(4):676–82.

Laidlaw DA, Harrad RA, Hopper CD, Whitaker A, Donovan JL, Brookes ST, et al. Randomised trial of effectiveness of second eye cataract surgery. Lancet (London, England) [Internet]. 1998 Sep 19 [cited 2019 Nov 8];352(9132):925–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9752814

Lundström M, Brege KG, Florén I, Lundh B, Stenevi U, Thorburn W. Cataract surgery and quality of life in patients with age related macular degeneration. Br J Ophthalmol. 2002 Dec 1;86(12):1330–5.

Desai P, Reidy A, Minassian DC. Profile of patients presenting for cataract surgery in the UK: National data collection. Br J Ophthalmol. 1999;83(8):893–6.

Javitt JC, Brenner MH, Curbow B, Legro MW, Street DA. Outcomes of Cataract Surgery: Improvement in Visual Acuity and Subjective Visual Function After Surgery in the First, Second, and Both Eyes. Arch Ophthalmol. 1993;111(5):686–91.

Javitt JC, Steinberg EP, Sharkey P, Schein OD, Tielsch JM, West MD, et al. Cataract Surgery in One Eye or Both: A Billion Dollar per Year Issue. Ophthalmology. 1995;102(11):1583–93.

Fasina O, Okwudishu IA, Bekibele CO. Cataract surgery in Ibadan, Nigeria: Visual outcome and post-operative refractive error. Ann Heal Res [Internet]. 2017 Jun 12 [cited 2022 Dec 30];3(1):43–9. Available from: https://www.annalsofhealthresearch.com/index.php/ahr/article/view/52

Olawoye O, Ashaye A, Bekibele C, Ajayi B. Visual outcome after cataract surgery at the University College Hospital, Ibadan. Ann Ibadan Postgrad Med. 2011 Nov 21;9(1).

Desai P. The national cataract surgery survey: II clinical outcomes. Eye. 1993;7(4):489–94.

Jaycock P, Johnston RL, Taylor H, Adams M, Tole DM, Galloway P, et al. The Cataract National Dataset electronic multi-centre audit of 55 567 operations: Updating benchmark standards of care in the United Kingdom and internationally. Eye. 2009 Nov 23;23(1):38–49.

Buchan JC, Donachie PHJ, Cassels-Brown A, Liu C, Pyott A, Yip JLY, et al. The Royal College of Ophthalmologists’ National Ophthalmology Database study of cataract surgery: Report 7, immediate sequential bilateral cataract surgery in the UK: Current practice and patient selection. Eye. 2020 Jan 7;1–9.

Castells X, Alonso J, Ribó C, Nara D, Teixidó A, Castilla M. Factors associated with second eye cataract surgery. Br J Ophthalmol. 2000 Jan;84(1):9–12.

Malik C, Bhatia MS, Dhaliwal U. Factors affecting the time lag to the second eye cataract surgery in a hospital-based population. Nepal J Ophthalmol. 2014 Jul 16;6(1):31–8.

Dhaliwal U, Gupta S. Barriers to the uptake of cataract surgery in patients presenting to a hospital. Indian J Ophthalmol. 2007 Jun 1;55(2):133–6.