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Relationship between ocular surface disease and patient’s satisfaction among cataract surgical patients in Nigeria

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Abstract

Purpose

To determine the effect of clinical and cytological features of ocular surface disease on patient’s satisfaction following small incision cataract surgery at a tertiary eye care centre.

Method

This is a prospective observational study of 70 consecutive consenting patients who underwent manual small incision cataract surgery(MSICS) at a tertiary eye care centre. All participants underwent ocular surface profile assessment using Schirmer I test (ST1), tear film break-up time (TBUT), conjunctival impression cytology (CIC) and ocular surface disease index (OSDI) at pre-operative visit, 1-week and 4-week post-operative visit. Patient’s satisfaction with surgical outcome was evaluated at 6-week post-operative visit using a rating scale of 1 to 10. Data were analysed using IBM Statistical Package for the Social Sciences (SPSS) version 20.0 (IBM Corp., Armonk, NY USA).

Results

The mean age was 68 ± 9.4 years with a male/female ratio of 1:1.1. The mean OSDI score decreased significantly (p < 0.001) from 33.1 ± 8.4 pre-operatively to 20.8 ± 7.4 four weeks after surgery. The TBUT was 12 ± 4.1 s pre-operatively, but significantly reduced to 11.2 ± 3.9 s (p < 0.001) at 4-week post-operative period. At 6 weeks, patients with normal CIC reduced from 53 (75.8%) pre-operatively to 8 (11.4%) (p < 0.001, z = − 7.24). Fifty percent of patients with severe post-operative ocular surface disease reported dissatisfaction with their surgical outcome (p = 0.024).

Conclusion

Manual small incision cataract surgery can significantly impair the ocular surface health profile of patients. The presence of ocular surface disease in patients pre-operatively can negatively impact their level of satisfaction with surgical outcome.

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Funding

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Authors and Affiliations

  1. Department of Ophthalmology, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria

    Olajumoke Laoye, Adenike A. Adeoye, Oluwatoyin H. Onakpoya & Abimbola S. Ibrahim

  2. Department of Ophthalmology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

    Adenike A. Adeoye & Oluwatoyin H. Onakpoya

  3. Department of Anatomic and Molecular Pathology, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria

    Oluwole O. Odujoko

  4. Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA

    Oluwatobi O. Idowu

Authors
  1. Olajumoke Laoye
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  2. Adenike A. Adeoye
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  3. Oluwatoyin H. Onakpoya
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  4. Oluwole O. Odujoko
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  5. Oluwatobi O. Idowu
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  6. Abimbola S. Ibrahim
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Correspondence to Olajumoke Laoye.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Laoye, O., Adeoye, A.A., Onakpoya, O.H. et al. Relationship between ocular surface disease and patient’s satisfaction among cataract surgical patients in Nigeria. Int Ophthalmol 41, 3163–3170 (2021). https://doi.org/10.1007/s10792-021-01881-3

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  • DOI: https://doi.org/10.1007/s10792-021-01881-3

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