# Pattern of Preferred Cataract Surgery Practices in Morocco: A Survey-Based Study

## TL;DR

This study surveys Moroccan ophthalmologists to understand their preferred cataract surgery practices and compares them to global standards.

## Contribution

The study provides a detailed survey-based analysis of current cataract surgery practices specific to Morocco.

## Key findings

- Topical anesthesia is the most preferred method for cataract surgery in Morocco.
- Stop-and-chop is the most common technique for routine cataract surgeries.
- Almost all participants use intracameral antibiotics for endophthalmitis prophylaxis.

## Abstract

Aim and methodology

The aim of the study was to describe the preferred cataract surgery practices among Moroccan ophthalmologists and compare them with practices in other countries. An online survey consisting of 29 multiple-choice questions was sent to Moroccan ophthalmologists. The questions were centered on the preferred cataract surgical practices of the participants. All the data obtained were collected and analyzed.

Results

A total of 276 participants responded to the survey. Of these, 178 (64,50%) were in the age group of 31-50 years. The visual acuity for which the operative indication was made was 4/10 for 144 (52.4%) participants). The most popular type of anesthesia was topical, reported by 172 (62.4%). Stop-and-chop was the most used technique for routine cataract surgeries, while hydroprolapse of the nucleus was the leading technique for soft cataracts. The two measures are considered crucial for postoperative endophthalmitis prophylaxis: Povidone-iodine instillation into the conjunctival sac and intracameral antibiotics were performed by 267 (97%) and 276 (100%) participants, respectively. Nonsteroidal anti-inflammatory drugs were prescribed by only 128 (46.5%) surgeons.

Conclusion

This study provides some insight into the present cataract surgery techniques in Morocco, which might differ considerably from one country to another. Studies in various countries need to be undertaken to develop a consensus and reach some evidence-based patterns. This study may serve as a guide for young surgeons starting their careers based on what the standard procedures are among their seniors and peers.