Outcomes of Cataract Surgeries Performed in Makeshift Operating Rooms in Rural Camps, Compared to Hospital-based Surgeries in Nepal

Bhatta, Subash; Pant, Nayana; Thakur, Ajit Kumar; Pant, Suresh Raj

doi:10.1080/09286586.2021.1976805

Cited by 3 publications

(6 citation statements)

References 20 publications

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“…One of the major reason for this reduction in blindness was the successful implication of a community based approach to eye care with special focus on outreach surgical camps, which have been able to provide good outcomes. 25 According to unpublished data from the RAAB survey, Bagmati province, Gandaki Province, Karnali Province, and Lumbini Province of Nepal showed prevalence of blindness 0.7%, 0.9%, 0.9%, and 1.7%, respectively. The prevalence of blindness in other provinces of Nepal is higher than the prevalence of blindness in Sudur Paschim Province.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Causes of Blindness and Visual Impairment in Sudur Paschim Province of Nepal

Pant,

Bhatta,

Bhatta

et al. 2024

Nep. Med. Coll. J.

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Tonsillectomy is the complete removal of a tonsil from its bed and is one of the most common procedures in Otorhinolaryngology. The intensity of post-operative pain is severe enough to cause dysphagia which subsequently leads to infection of the fossa and other complications. Several studies on pain management have been conducted but not a single standard protocol currently exist. This study aims to evaluate the intensity of post tonsillectomy pain and to assess the efficacy of infiltration of Bupivacaine on the tonsillar fossa following tonsillectomy. A comparative study was conducted at Kathmandu Medical College, ENT-HNS department for a period of 18 months (January 2018 to June 2019). Ninety three patients were included. 2.5 ml of 0.5% Bupivacaine was infiltrated in right tonsillar fossa after tonsillectomy in all patients. The lateralization and intensity of pain at various post-operative period was assessed using visual analogue scale. The requirement of extra analgesics at various post-operative period was recorded. The pain score on the Bupivacaine side on the first and second post-operative day was decreased as compared to the other side. The pain score on the fourth hour and third post-operative day on Bupivacaine side was more than that of the other side. Infiltration of Bupivacaine over the tonsillar fossa has provided a good result with a significant reduction of pain in first post-operative day and in early post-operative period. However, other multi-centered and double blinded study is requires to provide better results.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Causes of Blindness and Visual Impairment in Sudur Paschim Province of Nepal

Pant,

Bhatta,

Bhatta

et al. 2024

Nep. Med. Coll. J.

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“…Previous RAAB survey conducted in this province in 2012, reported the age-sex adjusted prevalence of blindness of 2.7% (95% CI, 1.8%-3.7%). One of the major reasons for this reduction in blindness is the successful implication of a community based approach to eye care with special focus on outreach surgical camps, which have been able to provide good outcomes [25]. The prevalence of SVI 1.0% (95% CI, 0.6-1.3%) and MVI 5.3%, (95% CI, 4.5-6.2%) have also decreased from previous rates of 2% and 7.6% respectively [5].…”

Section: Discussionmentioning

confidence: 99%

“…These protocols have also been able to provide high quality outcomes, helping to decrease the prevalence of blindness and visual improvement in the province. [25, 28]…”

Section: Discussionmentioning

confidence: 99%

“…These protocols have also been able to provide high quality outcomes, helping to decrease the prevalence of blindness and visual improvement in the province. [25,28] Despite this progress, cataract is still the main cause of blindness (36.4%) followed by non trachomatous corneal opacity (24.2%), glaucoma (21.2%), all other globe or CNS abnormality (9.1%), ARMD (6.1%), other posterior segment disease (3%). Again, cataract is the main cause in SVI (85.7%) and MVI (55.1%) category.…”

Section: Discussionmentioning

confidence: 99%

“…These protocols have also been able to provide high quality outcomes, helping to decrease the prevalence of blindness and visual improvement in the province. [25,28] . CC-BY 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.…”

Section: (Which Was Not Certified By Peer Review) Preprintmentioning

confidence: 99%

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Prevalence and causes of blindness and visual impairment in Sudur paschim Province of Nepal

Pant

Bhatta

et al. 2022

Preprint

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Aim To determine the prevalence and causes of blindness and visual impairment among aged 50 years and older population in Sudurpaschim Province of Nepal. Methods A cross sectional study, among population aged 50 years and older using a random multistage cluster sampling procedure. Eligible study participants were enrolled by door-to-door enumeration. Survey team lead by an Ophthalmologist assessed visual acuity, examination of eye and data collection was carried out on tablets installed with mRAAB 7 software. Results The survey examined 4573 out of 4615 subjects enumerated, with a response rate 99.1%. Out of 4573 subjects, 1995 (43.63%) were male and 2578 (56.37%) were female. Among the examined, 2214 (48.4%) were between 50-59 years. The age- and sex-adjusted prevalence of blindness was 0.6% (95% CI 0.3 – 0.87).The age- and sex-adjusted prevalence of severe visual impairment, moderate visual impairment, and early visual impairment were 1.0% (95% CI 0.6 – 1.3), 5.3% (95% CI 4.5 – 6.2) and 7.0% (95% CI 6.0 – 8.0) respectively. The main causes of bilateral blindness were untreated cataract (36.4%), non-trachomatous corneal opacity (24.2%), glaucoma (21.2%), globe or central nervous system abnormalities (9.1%), age related macular degeneration (6.1%) and other posterior segment diseases (3.0%). Conclusion Prevalence of blindness was reduced in the province in comparison to the previous survey. Cataract remains the major cause of blindness, severe visual impairment, and moderate visual impairment followed by corneal opacities and glaucoma. The study suggests more attention to be given for cataract, corneal blindness and glaucoma in future interventions to eliminate blindness.

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Ophthalmologists’ Perspective on Barriers to Cataract Surgery and Surgical Productivity in Ethiopia, Ghana, and Zambia: A Descriptive, Mixed-Methods Survey

Herrod,

Sherief,

Ahmed

et al. 2024

Ophthalmic Epidemiology

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Table 1. Characteristics of Ophthalmologists Surveyed Country No. of Surgeries in 2019 Ethiopia Ghana Zambia ≤ 500 ≥ 501 Total No. of Respondents 78 35 9 85 25 122 Participation Rate 78/96 (81%) 35/107 (33%) 9/54 (17%) --122/257 (47%) n/N (%) n/N (%) n/N (%) n/N (%) n/N (%) n/N (%) Gender Male 44/77 (57) 20/35 (57) 4/9 (44) 48/85 (56) 16/24 (67) 68/121 (56) Female 33/77 (43) 15/35 (43) 5/9 (56) 37/85 (44) 8/24 (33) 53/121 (44) Years in Practice 0-4 26/78 (33) 11/35 (31) 4/9 (44) 32/85 (38) 5/25 (20) 41/122 (34) 5-14 29/78 (37) 14/35 (40) 3/9 (33) 32/85 (38) 10/25 (40) 46/122 (38) ≥ 15 23/78 (29) 10/35 (29) 2/9 (22) 21/85 (25) 10/25 (40) 35/122 (29) Training Location a Country Where I Practise 76/78 (97) 33/35 (94) 6/9 (67) 82/85 (96) 24/25 (96) 115/122 (94) Other Country in Africa 1/78 (1) 2/35 (6) 3/9 (33) 3/85 (4) 0/25 (0) 6/122 (5) Not in Africa 7/78 (9) 6/35 (17) 1/9 (11) 7/85 (8) 6/25 (24) 14/122 (11) Work Setting a Government Hospital 66/78 (85) 28/35 (80) 8/9 (89) 75/85 (88) 17/25 (68) 102/122 (84) Private Practice 28/78 (36) 6/35 (17) 2/9 (22) 23/85 (27) 10/25 (40) 36/122 (30) Non-Profit Organisation 6/78 (8) 6/35 (17) 1/9 (11) 6/85 (7) 5/25 (20) 13/122 (11) No. of Surgeons Performing Cataract Surgeries in Practice 1-4 34/77 (44) 21/34 (62) 5/9 (56) 39/84 (46) 14/25 (56) 60/120 (50) 5-9 8/77 (10) 3/34 (9) 4/9 (44) 10/84 (12) 1/25 (4) 15/120 (13) ≥ 10 35/77 (45) 10/34 (29) 0/9 (0) 35/84 (42) 10/25 (40) 45/120 (38) a Question was "mark all that apply"

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Outcomes of Cataract Surgeries Performed in Makeshift Operating Rooms in Rural Camps, Compared to Hospital-based Surgeries in Nepal

Cited by 3 publications

References 20 publications

Prevalence and Causes of Blindness and Visual Impairment in Sudur Paschim Province of Nepal

Prevalence and Causes of Blindness and Visual Impairment in Sudur Paschim Province of Nepal

Prevalence and causes of blindness and visual impairment in Sudur paschim Province of Nepal

Ophthalmologists’ Perspective on Barriers to Cataract Surgery and Surgical Productivity in Ethiopia, Ghana, and Zambia: A Descriptive, Mixed-Methods Survey

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