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Outcome of cataract surgery in HIV-positive patients


SNN Nwosu
NE Okpala
CA Nnubia
CU Akudinobi

Abstract

Objective: To determine the visual outcome of cataract surgery in HIV-positive patients at the Guinness Eye Center Onitsha.
Materials and Methods: The case files of HIV-positive patients who had cataract surgery at the Guinness Eye Center Onitsha between 2006 and 2014 were retrieved. Information obtained included socio-demographics, co-morbidities, pre- and post-operative visual acuity and surgical complications.
Results: Twenty six eyes of 18 patients (7 males, 11 females); age range: 32-73 years; median – 51 years had cataract surgery. Preoperatively, 22 eyes (84.6%) had visual acuity <3/60; 6 months after surgery 17 (65.4%) had attained acuity ≥ 6/18, with 9 (34.6%) having acuity ≥ 6/6. Post-operative blindness and low vision were due to pre-existing co-morbidity, uveitis, endophthalmitis and posterior capsule opacity.
Conclusions: The visual outcome of cataract surgery in HIV-positive patients is encouraging. However, the patients need to be regularly followed up post-surgery.


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eISSN: 2971-625X
print ISSN: 2734-3138