Cataract in central Sri Lanka: cataract surgical coverage and self‐reported barriers to cataract surgery

Athanasiov, Paul A; Edussuriya, Kapila; Senaratne, Tissa; Sennanayake, Saman; Selva, Dinesh; Casson, Robert J.

doi:10.1111/j.1442-9071.2009.02152.x

Cited by 30 publications

(28 citation statements)

References 26 publications

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“…20 Some factors should be considered in this regard. Similar to some studies, [21][22][23] we also believe that women's access to health services has improved in recent decades; therefore, younger women now utilize such services as men do. However, older women have less utilized health and medical care services.…”

Section: Discussionmentioning

confidence: 53%

Visual impairment in the 40- to 64-year-old population of Shahroud, Iran

Hashemi

Khabazkhoob

Emamian

et al. 2012

Eye

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Purpose To determine the prevalence of visual impairment by age and gender in Shahroud. Methods Using random cluster sampling, 6311 Shahroud inhabitants who were between 40 and 64 years old were invited for ophthalmological examinations. Visual acuity worse than 0.5 LogMAR (20/60) and 1.3 LogMAR (20/ 400) in the better eye was regarded as low vision and blindness, respectively. The cause of blindness was determined by an ophthalmologist and in a person with more than one cause, the most correctable cause was regarded as the main cause. Results This study was conducted on 5190 participants (response rate: 82.2%). On the basis of presenting visual acuity, the prevalence of low vision and blindness was found to be 1.8% (95% confidence interval (CI): 1.4-2.10) and 0.5% (95% CI: 0.3-0.7), respectively. Based on corrected vision, these values were 0.5% (95% CI: 0.3-0.7) and 0.3% (95% CI: 0.1-0.4), respectively. Visual impairment increased with age in women (Po0.001). Uncorrected refractive errors (63.9%), cataract (20.2%), and amblyopia (5.9%) were the most common causes of visual impairment based on presenting vision. Based on corrected vision, however, cataract (42.5%), amblyopia (12.5%), and retinitis pigmentosa (7.5%) were the most common causes of visual impairment. Conclusion Although the prevalence of visual impairment in the city of Shahroud was determined to be lower than two previous studies in the country, correction of refractive errors and cataract could minimize the rate of visual impairment in this population as they were shown to comprise 85% of the causes of visual impairment. The elderly women need to receive more attention.

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Section: Discussionmentioning

confidence: 53%

Visual impairment in the 40- to 64-year-old population of Shahroud, Iran

Hashemi

Khabazkhoob

Emamian

et al. 2012

Eye

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“…Fear of surgery, including fear of poor surgical outcomes, was also one of the important reasons for not undergoing surgery, which is consistent with previous reports from China 14 and other developing countries. 13,20 Population-based studies have frequently demonstrated that outcomes of cataract surgery in rural China are suboptimal. 29 Therefore, establishing a system for training local doctors to perform high-quality cataract surgery is essential.…”

Section: Discussionmentioning

confidence: 99%

“…Barriers to uptake of cataract surgery have been well-described in Africa 6,[9][10][11] and Asia, [12][13][14][15][16][17] and appear to include direct and indirect costs, 10,11,18,19 lack of knowledge, 13,20 fear of surgery, 13,20 concerns about the quality of services, 11,13 transportation problems, 12,15,16,21 and discrimination on the basis of sex and age. 12,15,16 Information on barriers to cataract surgery in China is sparse; barriers 14,17,19,22 include lack of knowledge, concern over poor quality of local services and cost of cataract surgery.…”

Section: Introductionmentioning

confidence: 96%

Barriers for Poor Cataract Surgery Uptake among Patients with Operable Cataract in a Program of Outreach Screening and Low-cost Surgery in Rural China

Zhang

Jhanji

Leung

et al. 2014

Ophthalmic Epidemiology

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“…6 Over half (54.1%) of those who felt they needed eye care but did not use available services reported that they did not access services because they did not think their eye problem was important. 6 In population-based studies in Sri Lanka, 7 Guatemala 8 and Nepal, 9 subjects reported that fear and a lack of awareness of treatment for their vision loss were important barriers to accessing cataract treatment along with financial constraints, not having someone to accompany them to the surgery, and distance to the hospital.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Counseling on Cataract Patient Knowledge, Decisional Conflict, and Satisfaction

Newman-Casey

Ravilla

Haripriya

et al. 2015

Ophthalmic Epidemiology

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Purpose Cataract is the leading cause of non-refractive preventable blindness, and comprehensive strategies to increase cataract surgery rates are imperative, including high-quality supportive patient education. We evaluated the effectiveness of non-physician pre-surgical counselors teaching patients about cataract and cataract surgery in improving patient knowledge, decisional conflict, and satisfaction. Methods A survey was given before and after 61 newly-diagnosed cataract patients underwent pre-surgical counseling at the Aravind Eye Hospital, Madurai, India. The survey measured change in cataract knowledge and decisional conflict, a measure of anxiety surrounding the decision to undergo surgery, along with patient satisfaction. Multiple regression was used to identify factors that influenced change in knowledge. Results Both patient knowledge scores and decisional conflict scores improved following counseling (mean difference +2.0, P=0.004 and +8.4, P<0.0001, respectively). Multiple regression analysis identified female sex (β=2.5, P<0.001) and being illiterate (β=1.7, P=0.04) as important predictors of increased knowledge post-counseling. Conclusion Counseling both improved knowledge and reduced decisional conflict about cataract surgery, particularly among patients who had traditionally had more limited access to healthcare such as women and illiterate patients. Increased use of high quality counseling might help to further reduce the global burden of cataract and other forms of blindness.

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Cataract in central Sri Lanka: cataract surgical coverage and self‐reported barriers to cataract surgery

Abstract: Cataract surgical coverage in central Sri Lanka is higher than that in neighbouring developing regions. Surgical uptake may be improved through better community education.

Cited by 30 publications

References 26 publications

Visual impairment in the 40- to 64-year-old population of Shahroud, Iran

Visual impairment in the 40- to 64-year-old population of Shahroud, Iran

Barriers for Poor Cataract Surgery Uptake among Patients with Operable Cataract in a Program of Outreach Screening and Low-cost Surgery in Rural China

The Effect of Counseling on Cataract Patient Knowledge, Decisional Conflict, and Satisfaction

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