ArticleInternational ophthalmology2018
What are the priorities for improving cataract surgical outcomes in Africa? Results of a Delphi exercise.
Article in International ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Pooled it
- Zulu ocular biometry differs fundamentally from that of Europeans - A modelling analysis.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025Article
- [Cataract surgery in sub-Saharan Africa-Possibilities and limits].Die Ophthalmologie · 2025Article
- Article
- Prevalence and management of cataracts among older adults in Sub-Saharan Africa: a scoping review.BMC ophthalmology · 2024Article
- Reducing the carbon footprint of cataract surgery: co-creating solutions with a departmental Delphi process.Eye (London, England) · 2024Article
- Clinical diagnosis and management of Demodex blepharitis: the Demodex Expert Panel on Treatment and Eyelid Health (DEPTH).Eye (London, England) · 2023Article
- Deferring Postoperative Follow‑Up Visits up to 4 Weeks After Uneventful Cataract Surgery in a Tertiary Level Eye Hospital: Protocol for a Prospective, Quantitative, Experimental Control Study.JMIR research protocols · 2023Article
- Cataract Surgery Visual Outcome and Associated Factors Among Adults Attended Jimma University Medical Center, Jimma, Southwest Ethiopia.Clinical ophthalmology (Auckland, N.Z.) · 2023Article
- Delphi Panel Consensus Regarding Current Clinical Practice Management Options forClinical ophthalmology (Auckland, N.Z.) · 2023Article
- Knowledge, Attitudes and Practices of Eye Health among Public Sector Eye Health Workers in South Africa.International journal of environmental research and public health · 2021Article
- Efficacy, safety and visual outcomes of cataract surgeries performed during blindness prevention programs in different locations in Kenya.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021Observational
- Ophthalmology training in sub-Saharan Africa: a scoping review.Eye (London, England) · 2021Article
- Cataract surgery in surgical camps: outcomes in a rural area of Cameroon.International ophthalmology · 2021Article
- Interventions to improve the quality of cataract services: protocol for a global scoping review.BMJ open · 2020Article
- [Sumbawanga eye camp follow-up study 2019].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2020Article
- Blindness above and below the Poverty Line: Reflections form Sofala, Mozambique.Journal of public health in Africa · 2020Article
- Factors associated with visual outcomes after cataract surgery: A cross-sectional or retrospective study in Liberia.PloS one · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
purposeThe quality of cataract surgery delivered in sub-Saharan Africa (SSA) is a significant constraint to achieving the elimination of avoidable blindness. No published reports from routine SSA cataract services attain the WHO benchmarks for visual outcomes; poor outcomes (<6/60) often comprise 20% in published case series. This Delphi exercise aimed to identify and prioritise potential interventions for improving the quality of cataract surgery in SSA to guide research and eye health programme development.
methodsAn initial email open-question survey created a ranked list of priorities for improving quality of surgical services. A second-round face-to-face discussion facilitated at a Vision 2020 Research Mentorship Workshop in Tanzania created a refined list for repeated ranking.
resultsSeventeen factors were agreed that might form target interventions to promote quality of cataract services. Improved training of surgeons was the top-ranked item, followed by utilisation of biometry, surgical equipment availability, effective monitoring of outcomes of cataract surgery by the surgeon, and well-trained support staff for the cataract pathway (including nurses seeing post-operative cases).
conclusionImproving the quality of cataract surgery in SSA is a clinical, programmatic and public health priority. In the absence of other evidence, the collective expert opinion of those involved in ophthalmic services regarding the ranking of factors to promote quality improvement, refined through this Delphi exercise, provides us with candidate intervention areas to be evaluated.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.