Mobile strategy and manual cataract surgery by small incision: congolese experience

Introduction: We report the results of a mobile cataract surgery using the technique of manual small cataract surgery. Methods: The study included patients with cataract who were recruited during a mobile surgery campaign and made available by a local NGO. Some ophthalmic equipment has been added. All patients were operated on by manual small cataract surgery, with the incision site being the most refractive axis. In the absence of astigmatism, a temporal incision was systematically performed. Results: Mean postoperative visual acuity without correction was 0.5 ± 0.25 (range 0.05-1). Mean postoperative visual acuity with the best correction was 0.72 ± 0.25 (range 0.05-1). Of the patients, 73.3% had good postoperative visual acuity without correction, of which 40.36% had visual acuity greater than or equal to 0.6. As for the best correction, it was found in 78.3% of them, postoperative visual acuity being greater than or equal to 0.6. Conclusion: The mobile strategy of cataract surgery is still relevant in our countries, which still have large ophthalmic deserts. These results seem better by the CMCPI compared to the old techniques.