[Extracting extra capsular versus phacomanuelle without sutures in the treatment of the cataract of the adult to the CHU-IOTA].

Introduction: Treatment of cataract blindness is surgical to restore vision. The aim of this work was to compare the PKA to the classic EEC in the surgical treatment of adult cataract in terms of anatomical and functional results in our institute.

Materials And Methods: This was a cross-sectional study of 333 operated eyes of cataract of the adult and followed for one month. The postoperative functional data and the causes of poor results were specified.

Result: A total of 172 men (51.7%) and 161 women (48.3%) underwent cataract surgery. The mean age was 64.2 years. 61.26% of patients had visual acuity (≥3 / 10) in EEC compared with 65.28% in PKA. (21%) for EEC, and (15%) for PKA had poor visual acuity (<1/10). The proportion of patients with good results increases with the best correction to 77.3% for EEC and 91.5% for PKA. The poor results close to those of the WHO in both techniques (6.7%). EEC and (5.3%) PKA. The poor results were mainly related to pre-existing pathologies (6.6%) and astigmatism related to surgery (7.1%).

Conclusion: In order to achieve the objectives of "Vision 2020", within the framework of the fight against blindness, it is imperative to facilitate the popularization of the PKA throughout the African subregion.