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Cataract Surgery Audit at Benha university hospital; (Visual outcome and complications). (Benha University)
Egypt (IFMSA-Egypt) - Benha Faculty of medicine, Benha
Ophthalmology department, Benha University hospital, Benha, Egypt.
Prof. Mohamed Taher Higazy
Dr.Jehad Hassan Abdel halim
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Cataracts are very common. It has been found that cataract is the cause of 39% of blindness and 33% of severe visual impairment in the world. Cataract surgery is one of the most common operations performed worldwide, according to national institute of health (NIH), in about 90% of cases people who have cataract surgery have better vision afterward. As with any surgery, cataract surgery poses risks either intraoperative or post operative complications. Monitoring and improving cataract surgery services have been crucial to improving quality of cataract surgery. In USA, Magione et al. used the Activities of Daily Vision Scale (ADVS) and SF-36 measure of health-related quality of life to assess the benefit of cataract extraction in 464 patients. Therefore we recommend this cataract surgery audit for better monitoring and evaluation of cataract surgery at Benha university hospital. A cohort study of cataract surgeries will be performed in one year, from February 2017 to January 2018. Best corrected visual acuity will be measured using landolt C chart.
What is the aim of the project?
Monitoring and improving cataract surgery services to improve quality of cataract surgery using the Activities of Daily Vision Scale (ADVS) and SF-36 measure of health-related quality of life to assess the benefit of cataract extraction. - assessing post-operative visual outcome and complications in patients undergoing cataract surgery at Benha university hospital.
What techniques and methods are used?
The anterior segment will be examined with slit lamp biomicroscopy (Nidek, Japan) The intraocular pressure will be measured using applanation tonometry attached to the slit lamp. The posterior segment will be examined with indirect and direct ophthalmoscopy. The power of intraocular lens (IOLs) to be implanted will be estimated by biometry. Intra-operative data will be collected on the type of operation, type of IOLs implant, the use of intra- cameral moxifloxacin or not and intra-operative complications. Postoperative data will be collected on same items as preoperative data. Best-corrected visual acuity and refraction will be measured at 4-6 weeks. As per the WHO 'world health organization' guidelines the post-operative vision will be categorized into “good visual outcome” as ≥6/18, “and poor visual outcome” as ≤6/60.
What is the role of the student?
- The student will mainly observe
- The tasks will be done under supervision
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
What are the tasks expected to be accomplished by the student?
Students will share in collected data required for the results. - They will Document visual acuity for patients using landolt chart. - They will Monitor the patients post operatively for any complications, learning skills used for such monitoring like slit lamp examination, intraocular pressure measurement and fundus examination using indirect ophthalmoscopy
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
There will be lectures and seminars provided by the tutor .
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster - The student will prepare a presentation - The student will prepare a scientific report - The student will prepare an abstract - The student’s name will be mentioned in a future publication
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
No specific skills. Subjects passed: - Ophthalmology
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months)
- Erratum: Cataract Surgery Audit at a Private Hospital in Saudi Arabia. Middle East Afr J Ophthalmol. 2015 Oct-Dec;22(4):502- 7. doi: 10.4103/0974-9233.167820.
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