Abstract
Cataract remains a significant public health issue in developing countries, and its treatment is predominantly surgical. The aim of this study was to evaluate extracapsular extraction using manual phaco alternative without sutures in terms of functional outcomes. This prospective study took place from January 2023 to June 2023, involving 170 eyes followed up to day 30 at the secondary ophthalmology center in Ouelessebougou. Data were analyzed using IBM SPSS and Excel 2016. Almost all our patients, 95% in Phaco-A and 93.3% in ECCE+PCI, underwent biometry. At day 30 postoperatively with correction, the phaco alternative yielded 88.8% good results, and extracapsular extraction showed 72.2% good results. At day 30 with correction, Phaco-A resulted in 88.75% of patients achieving good visual acuity compared to 72.22% in ECCE+PCI. This result is comparable to those of Konaté M [17] and Windinmanegdé Djiguimdé et al., [18], who achieved 83.49% and 79.6% good visual acuities, respectively. Phaco alternative provides better postoperative results in cataract surgery at the secondary ophthalmology center of Ouelessebougou.
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