• Online ISSN : 2313-1519
  • Print    ISSN : 1812-2892
Abstract - Systemic co-morbidities as a barrier to uptake of cataract surgery in Ibadan, Nigeria
< Back
Akinsola Sunday Aina, A. Ogundipe, O.O. Ayorinde


Background: Barriers to uptake of cataract surgery in a developing country like Nigeria are numerous, most researches focus on patient related factor like financial constraint however this study aims to assess the systemic co-morbidities that act as a barrier to uptake of cataract surgery at University College Hospital Ibadan, Oyo-State, Nigeria so that measures can be put in place to minimize this effect and thereby increase cataract surgery uptake in the centre.

Results: Three hundred and eighty-eight cataract patients participated in the study. The mean age of the patients was 66.6±11.2years with a range of 40 to 90 years. More than half (66.2%) of the study participants had systemic co- morbidities. Poorly controlled systemic hypertension is the most common cause of systemic co-morbidities that constitute significant barrier to uptake of cataract surgery.

Conclusion: There is a need for good and close collaboration between the physicians and the ophthalmologists so as to make management of cataract patients with systemic co-morbidities easier and more efficient at the Eye Outreach Clinic of University College Hospital, Ibadan.

Key words: systemic co-morbidities, barrier, cataract surgery

Corresponding author: Dr. A.S. Aina, Ophthalmology Unit, Department of Surgery, Bowen University Teaching Hospital Ogbomoso, Oyo State, Nigeria. Tel.: +2348033907271. E-mail: solarhema2013@yahoo.com



1. Kolawole OU, Ashaye AO, Mahmoud AO, Adeoti CO. Cataract blindness in Osun state, Nigeria: results of a survey. Middle East Afr J Ophthalmol. 2012; 19(4):364-371. https://doi.org/10.4103/0974-9233.102741

2. Bastawrous A, Dean WH, Sherwin JC. Blindness and visual impairment due to age-related cataract in sub-Saharan Africa: a systematic review of recent population-based studies. Br J Ophthalmol. 2013; 97(10):1237-1243. https://doi.org/10.1136/bjophthalmol-2013-303135

3. Blanchet K, Gordon I, Gilbert CE, Wormald R, Awan H. How to Achieve Universal Coverage of Cataract Surgical Services in Developing Countries: Lessons from Systematic Reviews of Other Services. Ophthalmic Epidemiol. 2012; 19(6):329-339. https://doi.org/10.3109/09286586.2012.717674

4. Syed A, Polack S, Eusebio C, Mathenge W, Wadud Z, Mamunur AK, et al. Predictors of attendance and barriers to cataract surgery in Kenya, Bangladesh and the Philippines. Disabil Rehabil. 2013; 35(19):1660-1667. https://doi.org/10.3109/09638288.2012.748843

5. Bekibele CO, Murthy GV, Barriers to cataract surgery of persons screened at camps in Ibadan, Nigeria. Afr J Med Med Sci. 2012; 41(3):257-264.

6. Mpyet C, Dineen BP, Solomon AW. Cataract surgical coverage and barriers to uptake of cataract surgery in leprosy villages of north eastern Nigeria. Br J Ophthalmol. 2005; 89(8):936-938. https://doi.org/10.1136/bjo.2004.062455

7. Oluleye T. Cataract blindness and barriers to cataract surgical intervention in three rural communities of Oyo State, Nigeria. Niger J Med. 2004; 13(2):156-160.

8. Osaguona VB, Ukponmwan CU, Kayoma DH, Okojie OH. Ocular health status of patients seen at the screening centre of the University of Benin Teaching Hospital, Benin city, Nigeria-A preliminary report. Journal of Medicine and Biomedical Research. 2012; 11(2):44-50.

9. Jadoon Z, Shah SP, Bourne R, Dineen B, Khan MA, Gilbert CE. et al. Cataract prevalence, cataract surgical coverage and barriers to uptake of cataract surgical services in Pakistan: the Pakistan National Blindness and Visual Impairment Survey. Br J Ophthalmol. 2007; 91(10):1269-1273. https://doi.org/10.1136/bjo.2006.106914

10. Lundström M, Barry P, Henry Y, Rosen P, Stenevi U. Visual outcome of cataract surgery; Study from the European Registry of Quality Outcomes for Cataract and Refractive Surgery. J Cataract Refract Surg. 2013; 39(5):673-679. https://doi.org/10.1016/j.jcrs.2012.11.026

11. Behera BK, Satish K, Jena SK, Hussain M, Samal S. Prevalence Of Hypertension And Diabetes Mellitus Among People Seeking Cataract Surgery In Rural South India. The Internet Journal of Epidemiology. 2012; 10(2). https://doi.org/10.5580/2af6

12. Nouvellon E, Cuvillon P, Ripart J. Regional Anesthesia and Eye Surgery. Anesthesiology. 2010; 113(5):1236-1242. https://doi.org/10.1097/ALN.0b013e3181f7a78e

13. Pacella E, Pacella F, Troisi F, Dell’Edera D, Tuchetti P, Lenzi T, et al. Efficacy and safety of 0.5% levobupivacaine versus 0.5% bupivacaine for peribulbar anesthesia. Clin Ophthalmol. 2013; 7:927-932. https://doi.org/10.2147/OPTH.S43553

14. VISION 2020 e-resource Cataract Surgery Protocol. http://admin.iapbafrica.co.za/Uploads/ResourceFiles/126/Cataract-Surg-Protocols.pdf

15. International Council of Ophthalmologist (ICO) International Clinical Guideline; Cataract (Initial and follow-up evaluation). http://www.icoph.org/resources/resources_detail/77/ICO-International-Clinical-Guideline-Cataract-Initial-and-follow-up-evaluation-html

16. Pham TQ, Wang JJ, Rochtchina E, Maloof A, Mitchell P. Systemic and ocular comorbidity of cataract surgical patients in a western Sydney public hospital. Clin Experiment Ophthalmol. 2004; 32(4):383-387. https://doi.org/10.1111/j.1442-9071.2004.00842.x

17. Al-Orainy AN, Omar SAA, Jahan S. Co-Morbidity of Age Related Cataract Surgical Patients in a Tertiary Care Hospital in Saudi Arabia. Saudi Journal of Ophthalmology. 2007; 21(2):105-109.

18. Morice A. The diagnosis and management of chronic cough. Eur Respir J. 2004; 24(3):481-492. https://doi.org/10.1183/09031936.04.00027804

19. Desalu OO, Salami AK, Fawibe AE. Prevalence of cough among adults in an urban community in Nigeria. West Afr J Med. 2011; 30(5):337-341.

20. Yusuff KB, Balogun O. Physicians' prescribing of anti-hypertensive combinations in a tertiary care setting in southwestern Nigeria. J Pharm Pharm Sci. 2005; 8(2):235-242.

21. Wang Y, Wang QJ. The prevalence of prehypertension and hypertension among US adults according to the new joint national committee guidelines: new challenges of the old problem. Arch Intern Med. 2004; 164(19):2126-2134. https://doi.org/10.1001/archinte.164.19.2126

22. Lira RPC, Covolo GA, Monsanto AR, José NK, Arieta CEL. Influence of preoperative testing on cancellation of ambulatory cataract surgery in adults. Annals of ophthalmology. 2002; 34(3):203-205. https://doi.org/10.1007/s12009-002-0024-6

Volume 4, Number 58 (2020)