A study on visual outcomes after cataract surgery with intraocular lens implants at the rural health training center, Paithan, Maharashtra

Abstract

A study was conducted to assess the visual outcomes of patients after cataract surgery with intraocular lens implants with reference to visual acuity (VA) and visual function (VF) and to assess patient satisfaction with surgical outcome. The retrospective study was carried out using operation theatre records at the Rural Health Training Centre (RHTC), Paithan, during 2007. Out of 819 cataract surgery patients operated in 2007 a total of 50 were selected randomly. Door-to-door visits were paid by investigator and multipurpose worker to previously operated patients for VA examination and to fill predesigned questionnaire. Statistical analysis was done by using SPSS 17.0 Version; 50% patients had VA in fair vision range of <6/18-6/60 and 52% showed the VF in the range of 76-100. Of the 32 satisfied patients, majority were in the age group 70-79 years. The patients with good visual outcomes achieved after surgery would act as pamphlets for the community.

<p>Outcomes and Associated Factors of Cataract Surgery Among Adults Attending a Tertiary Hospital in Addis Ababa, Ethiopia</p>

“…24 That we saw relatively better outcomes in our study might be due to the fact that the majority of surgeries were performed by senior ophthalmologists and the final vision assessment being at 6-8 weeks (versus 1-4 weeks for two-thirds of patients in the Gondar study). The outcomes in our study were generally better than those from a study in India, where fair outcomes were achieved in only 50% of cases 25 and also compared to a study from Nepal, where good, borderline and poor visual outcomes were found in 41.3%, 45%, and 13.7%, respectively. 26 An additional study from Malawi demonstrated poor outcomes in 19.5% of cases, a number much higher that found in our study.…”

Impact of cataract surgery on vision-related quality of life

“…These observations are in agreement with the results reported in previous studies, where the majority of study participants presented with reduced VRQoL pre-surgery. 1,17,35 For example, Bandhu et al 17 reported that 70% of their study participants presented with reduced VRQoL pre-surgery. Similarly, Domple et al 35 reported that all their study participants presented with reduced and/or poor VRQoL pre-surgery.…”

“…1,17,35 For example, Bandhu et al 17 reported that 70% of their study participants presented with reduced VRQoL pre-surgery. Similarly, Domple et al 35 reported that all their study participants presented with reduced and/or poor VRQoL pre-surgery. As observed in this study, the presence of cataract was associated with a decrease in the quality of life for the questions in all three domains, which corroborates the finding that vision impairment is associated with decreased VRQoL pre-surgery.…”

“…The majority of study sample consisted of older participants, with a mean age of ~66 years, which is consistent with reports of other studies where the mean age of participants was higher than 60 years. 17,27,35,36,37 The finding is not surprising as age-related cataracts are the most common type of cataracts and often the affected individuals may present late for surgical intervention. 11,16,38 In this study, there were slightly more women (n = 52) than men (n = 49), which is consistent with the results observed in previous studies.…”

Effect of Fasting on Intraocular Pressure

“…Intraocular pressure range is 11 -21 mm Hg in the normal eye when measured with an applanation tonometer. 2 Intraocular pressure is known to have diurnal fluctuation. 3 It is also affected by the temperature, season, exercise, blood pressure, respiration and medicine intake for ocular and systemic diseases.…”