Objective: To compare the
outcome of unilateral versus bilateral simultaneous cataract surgery at the
Guinness Eye Center Onitsha, Nigeria.Materials and Methods: The visual
outcome and complications rates in patients who had bilateral simultaneous
cataract surgery (BSCS) intraocular lens implant between 01 January, 2014
and 31 December, 2016 and had been followed up for 6 months were compared with
those who had unilateral cataract surgery (UCS) within the same period.
Information on socio-demographic characteristics, domicile, pre-operative
visual acuity, visual acuity on last follow up, intra-operative complications, post-operative
complications and causes of poor vision were analyzed.
Results: Thirty nine patients with
bilateral simultaneous surgery and 142 with uniocular surgery were studied. The
age range was 6 – 93 years, median – 66years. There were 104 males (57.5%).
Pre-operatively 62 (79.5%) and 134 (94.4%) eyes had visual acuity <3/60 in
bilateral and uniocular surgery patients respectively. Post-operatively, 36
(46.1%) and 60 (42.3%) eyes of bilateral and uniocular surgery patients
respectively had unaided acuity ≥6/18. Post-operative acuity significantly
improved in both unilateral (X2 = 9.626; p<0.05) and bilateral (X2
= 9.556; p<0.05) surgeries. However, there was no statistically significant
difference in the improvement in visual acuity between unilateral and bilateral
surgeries (X2 = 0.562; p>0.05)Intra-operatively, vitreous loss occurred in one (1.3%) BSCS
and 2 (1.4%) UCS patients. Post-operatively posterior capsule opacification
occurred in 10(12.8%) and 22 (15.5%) eyes of bilateral and uniocular surgery
patients respectively. Recurrent uveitis occurred in 8 (10.3%) and 13
(9.2%)eyes of bilateral and uniocular surgery patients respectively.
Post-operative endophthalmitis occurred in one (0.7%) eye of a uniocular
Volume of the Orient Journal of Surgical Sciences is out with a bang. An
Orthopaedic article is featured along with original articles from the fields of
Ophthalmology and General surgery.
consistent with the policy of the Journal, each published article provides
unique valuable clinical and scientific information on the respective subjects
issues of the Orient Journal of Surgical Sciences would be featuring quality
articles from the wider fields of Anaesthesia, Pathology, Otorhinolaryngology
(ENT), Radiology, Plastic surgery, Neurosurgery and Gynaecology.
department of surgery of the Chukwuemeka Odumegwu Ojukwu University Teaching
Hospital (COOUTH), Awka, Nigeria is pleased to publish this 2nd edition of the
Orient Journal of Surgical Sciences.
aspiration of the editorial team is to publish quality peer reviewed articles
that meet international standards at a minimum frequency of once per year in
the select specialties and this volume has met that commitment. This volume
contains articles of great importance particularly to the Ophthal-mologists and
The Maiden Edition of the Orient Journal of Surgical
Sciences Was Published on Wednesday 25th March 2020.
Hard Copies are now available at ₦1,000
per copy (or its USD $ equivalent) payable at site of collection at the Department
of Surgery Office, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital
(COOUTH) Awka, Nigeria or into the Journal bank account with the
Bank - Zenith bank; Account
Number: 1016472847; Account Name: COOUTH - The Orient Journal of
Editorial Board is also calling on all prospective Authors for the submission
of new articles towards the 2nd issue scheduled for publication in September