%0 Journal Article
%T Progression of Corneal Astigmatism after Phaco-Alternative at the University Hospital Center of the Oueme-Plateau Department in Porto-Novo
%A Chakiratou Olaï
%A dé
%A Adoukê
%A Abouki
%A Edjrokinto Ahomadegbe
%A Djrodé
%A hou Espé
%A rancia Neuilly
%A Issifou Amadou Alfa Bio
%A Nestor Aï
%A gbè
%A Soulé
%A Alamou
%A Lisette Odoulami
%A Ignace Sounouvou
%J Open Journal of Ophthalmology
%P 313-323
%@ 2165-7416
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojoph.2024.143029
%X Objective: To study the postoperative evolution of corneal astigmatism following phaco-alternative at the University Hospital Center of Ouémé-Plateau (UHC-OP) in Porto-Novo. Method: This was a prospective, cross-sectional study with a descriptive and analytical purpose conducted from April 19 to September 20, 2021; a period of 6 months. The study included all patients presenting with senile or non-senile cataracts without a history of corneal trauma and who underwent phaco-alternative during the study period. Results: A total of 62 eyes underwent phaco-alternative. The average age was 63 ± 12 years with a male predominance of 59.7%. Phaco-alternative was performed with 74.2% linear incision and 25.8% smile incision. Perioperative incidents were mainly capsular ruptures with vitreous loss occurring in 8.1% of cases. The mean preoperative astigmatism was 1.29 ± 1.5 D with an axis of 180˚ ± 20˚, indicating with-the-rule astigmatism. The mean postoperative astigmatism was 2.2 ± 1.5 D with an axis of 90˚ ± 20˚, indicating against-the-rule astigmatism. The mean induced astigmatism at Day 30 was 1.4 ± 1.2 D for smile incision and 1.8 ± 1.2 D for linear incision. Conclusion: Phaco-alternative yields good results with few complications but remains astigmatogenic. The smile incision appears to be less astigmatogenic.
%K Cataract
%K Phaco-Alternative
%K Smile Incision
%K Astigmatism
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=135258