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Evaluation of complications and visual outcome of manual small-incision cataract surgery and phacoemulsification surgery: experience of a tertiary hospital in Somalia

Poster Details

First Author: M. Kalayci TURKEY

Co Author(s):    S. Genc                    

Abstract Details


To evaluate the visual acuity levels, intraoperative and postoperative complications of the patients who were operated with the diagnosis of cataract in our tertiary hospital in Mogadishu, Somalia, according to the surgical technique.


Somalia Mogadishu ヨ Turkey Education and Research Hospital Ophthalmology Department


This hospital-centered study included 102 patients, who presented to the our ophthalmology clinic between January 2019 and January 2020. The patients were evaluated in terms of age, gender, region of residence, literacy level, surgical technique performed, cataract type, pre- and postoperative visual acuity and complications. Those who underwent phaco surgery were classified as Group 1, and those who had manual small-incision cataract surgery as Group 2. Pre- and postoperative visual acuity measurements were classified according to the World Health Organization classification; Good vision between 6/6 - 6/18, borderline vision between 6/18 - 6/60, poor vision if under 6/60.


The mean age of the patients included in the study was 68.2 ᄆ 10.6 years. Transient corneal edema was the most common complication in the Group 1. Hyphema was the most common complication in the Group 2. As a result of visual acuity measurement performed in the postoperative first month, 83.3% of the patients had good visual acuity (more than 6/18), 9.8% had borderline visual acuity (6/18 - 6/60), 6.9% had poor visual acuity (under 6/60). Post-operative visual acuity level was higher in the Group 1 compared to the Group 2, and the difference was statistically significant (p < 0.001).


Both phaco and manual small-incision cataract surgery are safe and effective for the visual rehabilitation of cataract patients, but phaco provides better visual acuity. In areas where access to phaco surgery is limited, manual small incision cataract surgery is an alternative method that can be preferred.

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