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A cataract surgery mission was organized to Kedougou, Senegal by the personnel of the Kedougou regional hospital, by Senegal Peace Corps, and by Right to Sight and Health, a US NGO.
The mission took place between 3/15/ 2010 to 3/26/2010, in Kedougou regional hospital.
The participants were: Dr Amadou Fall, technician Superior en Ophthalmology from Senegal, Dr Judith Simon, Dr Donald Macdonald, Dominga Villagomez registered nurse, and Christine Hedges, registered nurse, from the US and Gregoire Mary-Heck, medical students from France. There were also 20 Peace Corps volunteers participating, with the leadership of Matt Mclaughlin and Roxy O’connel. They provided all logistic and translation services.
We saw 1654 patients in consultation; from these 873 were examined by one of the ophthalmologists. 600 patients received eyeglasses and 103 patients were operated on.
We did biometry on each patient and aimed for a postoperative refraction of -1.00D. We gave intracameral cefuroxim at the end of each surgery to prevent postoperative endophthalmitis. We experienced no cases of this.
Among these 92 were EEC +ICP, 2 were secondary implant, 6 were trichiasis from trachoma, 2 were pterygium and 1 was lateral tarsal strip procedure. One of the CE and IOL surgery was on a traumatic cataract caused by a penetrating injury by metal, 1 week after the injury. A 13-year-old girl with severe bilateral cataracts was also operated on in both eyes with excellent results.
Out of the 92 EEC +ICP, 87 were PC IOL, and 5 were AC IOL. (One of the AC IOL was a traumatic dislocated cataract.)
We also saw 27 patients from last year, out of these 26 had good vision (20/100 or better uncorrected to distance, we aimed for -1.00 postoperative refraction.) One patient had count fingers vision after the implantation of a secondary implant from glaucoma, in spite of having a total iridectomy. His other eye was good. This was explained to him.
We have not experienced any posterior capsular haze in any of our postoperative patients, which could be from the subtenon triamcinolon 40 mg given after surgery.
We want to say thank you for the health personnel of Kedougou Hosp and to the Peace Corps for making this mission possible with their hard work and caring.
We hope this extremely successful cooperation will continue in the future.