{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T22:16:30Z","timestamp":1781388990487,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T00:00:00Z","timestamp":1720915200000},"content-version":"vor","delay-in-days":195,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Phacoemulsification has proven to be a breakthrough technique in cataract surgery. Its popularity has grown dramatically as procedures and equipment have advanced, improving both safety and efficiency. This study presents long\u2010term outcomes from phacoemulsification surgeries performed at the Evangelical Church Winning All (ECWA) Eye Hospital, a tertiary eye care center. <jats:italic>Method<\/jats:italic>. This prospective clinical cohort study followed standard practices for operations performed under local anesthesia. Ophthalmologists evaluated long\u2010term outcomes and predictors of improved visual acuity after phacoemulsification cataract surgery. The visual recovery of the patients over time was evaluated, and the factors that influence the gains in vision were identified. <jats:italic>Results<\/jats:italic>. A total of 177 patients were subjected to treatment at our facilities during the study period. There were 116 male and 61 female patients, which resulted to a male\u2010to\u2010female ratio of 1\u2009:\u20090.53. The average age of the patients was 59.18\u2009years with a standard deviation of 11.38\u2009years. Of the 259 eyes treated, 249 eyes (96.1%) achieved a high success rate with visual acuity of 6\/6 \u2013 6\/18. Ten (10) eyes (3.9%) had moderate acuity between &lt;6\/18 and 6\/60. Follow\u2010up examinations over five years after phacoemulsification showed poor vision outcomes among old patients. The primary factor that affected improvement in visual acuity among patients was amblyopia, present in 30% of cases. Posterior capsular opacification and macular edema collectively accounted for 20% of poor vision cases, while optic atrophy, glaucoma, and retinal hemorrhage each represented approximately 10% of poor vision cases. <jats:italic>Conclusions<\/jats:italic>. The phacoemulsification approach demonstrated a highly effective restoration of vision for the vast majority, while long\u2010term data analysis indicated the potential for age\u2010related variability in postoperative visual gains.<\/jats:p>","DOI":"10.1155\/2024\/2562064","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T03:19:25Z","timestamp":1721013565000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Long\u2010Term Outcomes of Phacoemulsification Surgeries at ECWA Eye Hospital: A Prospective Clinical Cohort Study"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2314-2338","authenticated-orcid":false,"given":"Mayor Orezime","family":"Atima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9573-483X","authenticated-orcid":false,"given":"Ugbede","family":"Idakwo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4536-4740","authenticated-orcid":false,"given":"Oyeronke","family":"Komolafe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3422-8578","authenticated-orcid":false,"given":"Eisuke","family":"Shimizu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nakayama","family":"Shintaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2092-0045","authenticated-orcid":false,"given":"Emmanuel Oluwadare","family":"Balogun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7872-9825","authenticated-orcid":false,"given":"Emeka John","family":"Dingwoke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5489-587X","authenticated-orcid":false,"given":"Ayodele Jacob","family":"Orugun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2401-4809","authenticated-orcid":false,"given":"Olalekan Adebayo","family":"Ogundare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9185-5203","authenticated-orcid":false,"given":"Pam Douglas","family":"Jah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,14]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.4102\/aveh.v81i1.782"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/25158414211063293"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.37506\/ijphrd.v14i4.18559"},{"key":"e_1_2_13_4_2","volume-title":"Global Data on Visual Impairment 2010","author":"Mariotti S. 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