{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:53:48Z","timestamp":1777481628123,"version":"3.51.4"},"reference-count":22,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T00:00:00Z","timestamp":1623888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Suboptimal cataract surgery outcomes remain a challenge in most developing countries. In Ghana, about 2 million people have been reported to be blind due to cataract with about 20% new cases being recorded yearly. The aim of this study was to evaluate postoperative correction of refractive errors after cataract surgery in a selected eye hospital in Ashanti Region, Ghana. This was a retrospective study where medical records of patients (aged 40\u2013100) who reported to an eye hospital in Ghana from 2013\u20132018 were reviewed. Included in the study were patients aged \u226540 years and patients with complete records. Data on patient demographics, type of surgery, intra-ocular lens (PCIOL) power, availability of biometry, postoperative refraction outcomes, pre- and postoperative visual acuity were analyzed. Data of two hundred and thirteen eyes of 190 patients who met the inclusion criteria were analyzed. Descriptive analysis and Chi-square test were carried out to determine the mean, median, standard deviation and relevant associations. The mean \u00b1 <jats:italic>SD<\/jats:italic> age was 67.21\u00b112.2 years (51.2% were females). Small Incision Cataract Surgery (99.5%) with 100% IOL implants was the main cataract surgery procedure in this study. Pre-operative biometry was performed for 38.9% of all patients on their first eye surgery and 41.5% for second eye surgeries. About 71% eyes in this study were blind (presenting VA&lt;3\/60) before surgery; 40.4% had post-operative VA &lt;3\/60. Pre-existing ocular comorbidities discovered post- surgery, attributed to suboptimal visual outcomes. More than half (55.3%) of patients did not undergo postoperative refraction due to loss to follow-up. Year of surgery (p = .017), follow up visits&lt; 2months (p &lt; .0001) and discovered comorbidity post-surgery (p = .035) were the factors significantly associated with postoperative refraction. Myopia and compound myopic astigmatism were the dominant refractive error outcomes. The timing of post-operative refraction had a significant effect on postoperative refraction done. These findings indicate a clinically meaningful significance between completion of postoperative care and postoperative refraction done. Consequently, with settings in most developing countries, where less biometry is done, it is appropriate that post-operative refractive services are encouraged and done earlier to enhance the patients\u2019 expectations while increasing cataract surgery patronage.<\/jats:p>","DOI":"10.1371\/journal.pone.0252787","type":"journal-article","created":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T17:33:28Z","timestamp":1623951208000},"page":"e0252787","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":12,"title":["Evaluation of postoperative refractive error correction after cataract surgery"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3291-8492","authenticated-orcid":true,"given":"Ellen Konadu","family":"Antwi-Adjei","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Owusu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5955-7992","authenticated-orcid":true,"given":"Emmanuel","family":"Kobia-Acquah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8124-1612","authenticated-orcid":true,"given":"Emmanuella Esi","family":"Dadzie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Anarfi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth","family":"Wanye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2021,6,17]]},"reference":[{"issue":"4","key":"pone.0252787.ref001","doi-asserted-by":"crossref","first-page":"274","DOI":"10.3109\/09286586.2015.1008104","article-title":"Visual Acuity, Quality of Life and Visual Function Outcomes after Cataract Surgery in Bali","volume":"22","author":"L Farmer","year":"2015","journal-title":"Ophthalmic Epidemiol"},{"issue":"5","key":"pone.0252787.ref002","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1136\/bjophthalmol-2011-300539","article-title":"Global estimates of visual impairment: 2010","volume":"96","author":"D Pascolini","year":"2012","journal-title":"Br J Ophthalmol"},{"key":"pone.0252787.ref003","article-title":"Ghana Blindness and Visual Impairment Study 2015","author":"B Wiafe","year":"2015","journal-title":"Ghana Health Service Operation Eyesight Universal, Accra, Ghana"},{"key":"pone.0252787.ref004","author":"WH Organization","year":"2015","journal-title":"Health in 2015: from MDGs, millennium development goals to SDGs, sustainable development goals"},{"issue":"6","key":"pone.0252787.ref005","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1177\/0840470416669754","article-title":"Cataract refractive surgery: Innovative technology provides more choices for Canadian cataract patients","volume":"29","author":"R Potvin","year":"2016","journal-title":"Healthc Manage Forum"},{"issue":"5","key":"pone.0252787.ref006","first-page":"612","volume":"72","author":"G H\u00f8vding","year":"1994","journal-title":"The refractive error after implantation of a posterior chamber intraocular lens: the accuracy of IOL power calculation in a hospital practice"},{"issue":"6","key":"pone.0252787.ref007","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1586\/17469899.2014.966817","article-title":"Corrective Techniques and Future Directions for Treatment of Residual Refractive Error Following Cataract Surgery","volume":"9","author":"M Moshirfar","year":"2014","journal-title":"Expert Rev Ophthalmol"},{"issue":"12","key":"pone.0252787.ref008","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1016\/j.jcrs.2007.07.040","article-title":"Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4","volume":"33","author":"Z Zhou","year":"2007","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"pone.0252787.ref009","first-page":"19","article-title":"[Visual outcome of cataract surgery in adults","volume":"36","author":"N Guirou","year":"2013","journal-title":"J Fr Ophtalmol"},{"issue":"5","key":"pone.0252787.ref010","doi-asserted-by":"crossref","first-page":"464","DOI":"10.4103\/0301-4738.100552","article-title":"The challenges in improving outcome of cataract surgery in low and middle income countries","volume":"60","author":"R Lindfield","year":"2012","journal-title":"Indian J Ophthalmol"},{"issue":"4","key":"pone.0252787.ref011","doi-asserted-by":"crossref","first-page":"196","DOI":"10.3109\/09286586.2010.498662","article-title":"The importance of biometry to cataract outcomes in a surgical unit in Africa","volume":"17","author":"S Briesen","year":"2010","journal-title":"Ophthalmic Epidemiol"},{"issue":"1","key":"pone.0252787.ref012","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/ICU.0b013e3283414284","article-title":"The impact of cataract surgery on quality of life","volume":"22","author":"EL Lamoureux","year":"2011","journal-title":"Curr Opin Ophthalmol"},{"issue":"1","key":"pone.0252787.ref013","first-page":"35","article-title":"Evaluation of post-operative visual outcomes of cataract surgery in Ghana","volume":"5","author":"AA Ilechie","year":"2012","journal-title":"International Journal of Health Research"},{"issue":"4","key":"pone.0252787.ref014","first-page":"181","article-title":"Visual Outcome after Cataract Surgery at the Sunyani Regional Hospital, Ghana.","volume":"9","author":"E Kobia-Acquah","year":"2018","journal-title":"EC Ophthalmology"},{"issue":"1","key":"pone.0252787.ref015","first-page":"57","volume":"29","author":"JP Guzek","year":"2003","journal-title":"Small-incision manual extracapsular cataract surgery in Ghana, West Africa"},{"issue":"4","key":"pone.0252787.ref016","first-page":"169","article-title":"Evaluation of cataract surgery outcome in western Nigeria","volume":"43","author":"M Isawumi","year":"2009","journal-title":"Ghana Medical Journal"},{"issue":"6","key":"pone.0252787.ref017","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.jcrs.2012.03.006","article-title":"Evidence-based guidelines for cataract surgery: guidelines based on data in the European Registry of Quality Outcomes for Cataract and Refractive Surgery database","volume":"38","author":"M Lundstrom","year":"2012","journal-title":"J Cataract Refract Surg"},{"key":"pone.0252787.ref018","volume-title":"The world health report: Life in the 21st century-\u2010a vision forall","author":"Organization WH","year":"1998"},{"issue":"65","key":"pone.0252787.ref019","volume":"21","author":"D Yorston","year":"2008","journal-title":"Cataract complications"},{"key":"pone.0252787.ref020","volume-title":"Outcome of age related cataract surgery at Mbingo baptist hospital eye unit, north west region","author":"KP Beyiah","year":"2016"},{"issue":"5","key":"pone.0252787.ref021","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1136\/bjo.86.5.543","article-title":"Does prospective monitoring improve cataract surgery outcomes in Africa?","volume":"86","author":"D Yorston","year":"2002","journal-title":"British Journal of Ophthalmology"},{"issue":"1","key":"pone.0252787.ref022","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3126\/nepjoph.v3i1.4276","article-title":"Outcomes of high volume cataract surgeries at a Lions Sight First Eye Hospital in Kenya","volume":"3","author":"J Trivedy","year":"2011","journal-title":"Nepal J Ophthalmol"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0252787","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T17:33:50Z","timestamp":1623951230000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0252787"}},"subtitle":[],"editor":[{"given":"Michael","family":"Mimouni","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,6,17]]},"references-count":22,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,6,17]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0252787","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,17]]}}}