Outcome of an outreach microsurgical project in rural Nepal

Nowak, Rafał; Grzybowski, Andrzej

doi:10.1016/j.sjopt.2012.09.002

Cited by 9 publications

(10 citation statements)

References 16 publications

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“…In phacosandwich and ACM techniques, all cases were due to tunnel bleed. The occurrence of hyphema has also been reported by Novak and Grybowski[18] and Schroeder[19] in their studies. Though in our study its incidence appears to be independent of the surgical technique.…”

Section: Discussionsupporting

confidence: 75%

“…The incidence is similar to other studies. [1518212223] However, cases were not accompanied with vitreous loss owing to closed chamber, and hence posterior chamber intraocular lens could be placed in all cases. This is in accordance with reports of several studies.…”

Section: Discussionmentioning

confidence: 99%

“…Schroeder et al . [18] noted that zonular dehiscence occurred in cases of fishhook and viscoexpression techniques. Thim et al .…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of complications and visual outcome in various nucleus delivery techniques of manual small incision cataract surgery

Sharma

Kumar

et al. 2019

Indian J Ophthalmol

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Purpose: To evaluate various methods of nucleus delivery in manual small incision cataract surgery, with reference to visual outcome, intraoperative, and postoperative complications. Methods: In this prospective randomized interventional study, five groups of 40 cases each were constituted, with reference to nucleus delivery technique: (a) phacosandwich, (b) fishhook, (c) irrigating vectis, (d) viscoexpression, and (e) anterior chamber maintainer (ACM). Visual outcome, intraoperative, and postoperative complications were evaluated in detail. Follow-up was done on first and seventh postoperative days (PODs) and then at fourth and eighth postoperative weeks. Results: The most common intraoperative complication was intraoperative miosis, followed by intraoperative hyphema, seen more in phacosandwich and irrigating vectis groups. The most common postoperative complication was striate keratopathy followed by transient postoperative corneal edema and AC inflammatory response, seen more in phacosandwich and fishhook groups. With reference to visual acuity, on the first POD 95% cases of ACM group achieved visual acuity >+0.5 logMAR unit. The difference in the visual outcome among groups was statistically significant. On fourth and eighth postoperative weeks, best-corrected visual acuity among various groups was comparable. Conclusion: ACM and viscoexpression are effective techniques for early visual rehabilitation. Fishhook has limited utility in softer nuclear grades and black cataracts. Phacosandwich is more suitable for nuclear sclerosis Grades 3–4. Irrigating vectis, viscoexpression, and ACM technique are effective techniques for all grades of nucleus Postoperative surgical-induced astigmatism was comparable in all techniques.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

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Evaluation of complications and visual outcome in various nucleus delivery techniques of manual small incision cataract surgery

Sharma

Kumar

et al. 2019

Indian J Ophthalmol

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“…9-14 Some countries rely heavily on the use of eye camps; in Nepal, populations in geographically inaccessible rural mountain areas rely on outreach camps for eye care services, whereas inhabitants of the flat Terai region benefit from hospital-based care. 10,15 In Yemen, even before escalation of conflict in 2015, the primary health-care facilities were not equipped to provide effective ophthalmic screening and treatment, resulting in the widespread use of eye camps to support these services. 6,12 Loss of vision from cataracts is most commonly caused by ageing, but it is also associated with eye injuries and infection, exacerbated by ultraviolet (UV) light exposure, smoking, and diabetes, all of which are significant problems in resource-poor settings.…”

Section: Eye Campsmentioning

confidence: 99%

“…16 Using standardized protocols and surgical techniques (ie, manual small incision cataract surgery), cataract eye camps can process a high volume of patients, achieving good postoperative visual outcomes with low rates of intraoperative and postoperative complications compared with local hospital standards. 9,10,17,18 The Aravind model optimizes the efficiency of high-volume cataract services by striving to reduce costs, both to patients and of providers. 19 To reduce travel expenses for patients, these eye camps charter local bus services and ensure a quick turnover by performing all investigations during a single visit and offering an immediate appointment for surgery if indicated.…”

Section: Eye Campsmentioning

confidence: 99%

Designing a Mobile Eye Hospital to Support Health Systems in Resource-Scarce Environments

McMaster

Clare

2021

Disaster med. public health prep.

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Eye health is an integral part of well-being that may be at increased risk when health service delivery is affected by sudden-onset disasters, complex humanitarian events, or conflict in resource-scarce environments. This study proposes a design plan for a mobile eye hospital to support health systems between the initial emergency response and recovery of health infrastructure in resource-scarce environments of low- and middle-income countries. The facility benefits from high mobility and modularity, it can be assembled and operated by minimal personnel, and easily expanded as necessary. It has capacity to host high-volume ophthalmological services without the logistical complexity of large-scale emergency medical team responses or military operations. The design provides a medium-term service that can either operate from a fixed location or be redeployed in-country with ease. Mobile eye hospitals may provide a useful facility for local governments suffering damaged health systems, or as a way to complement current eye health provision. The design may also be used by charitable nongovernmental organizations during an initial emergency response, with the ability to quickly deploy to a target location and establish eye services.

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Restoring sight, but short‐sighted? Ethical considerations in global cataract missions

Mohnasky,

Rennie

2023

World Med & Health Policy

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Key points Though cataract missions perform an obvious good of restoring sight, this in itself does not ethically sanction their existence due to an intersection with cultural, social, and economic factors of the host country. Current guidelines do not adequately address the many ethical issues that may arise during these missions necessitating further ethical consideration. Not all countries beset by high rates of cataract‐related blindness are similar in their need. The specific context of the host country ought to inform the purpose and execution of cataract missions.

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Outcome of an outreach microsurgical project in rural Nepal

Cited by 9 publications

References 16 publications

Evaluation of complications and visual outcome in various nucleus delivery techniques of manual small incision cataract surgery

Evaluation of complications and visual outcome in various nucleus delivery techniques of manual small incision cataract surgery

Designing a Mobile Eye Hospital to Support Health Systems in Resource-Scarce Environments

Restoring sight, but short‐sighted? Ethical considerations in global cataract missions

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