Prevalence and Visual Outcomes of Cataract Surgery in Rural South India: A Cross-Sectional Study

Paul, Padma; Kuriakose, Thomas; John, Jacob; Raju, Reshma; George, Kuryan; Amritanand, Anika; Doss, Prem Ashirvadam; Muliyil, Jayaprakash

doi:10.1080/09286586.2016.1212991

Cited by 10 publications

(6 citation statements)

References 22 publications

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“…Such reports are, however, more than a decade old when visual outcomes of cataract surgery were poor, and majority had aphakia. However, more recent population-based studies as well as SSU data[ 10 ] report the prevalence of good visual outcomes (>6/18 BCVA in operated eye to be above 75%),[ 23 29 ] indicating an overall improvement in quality and outcomes of cataract surgery over time. Since patients with good outcomes can be powerful motivators;[ 19 ] this positive trend needs to be continued and further improved by quality control measures by cataract surgery providers.…”

Section: Discussionmentioning

confidence: 99%

Facilitating factors in overcoming barriers to cataract surgical services among the bilaterally cataract blind in Southern India: A cross-sectional study

Amritanand

Jasper

Paul

et al. 2018

Indian J Ophthalmol

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Purpose:To effectively address cataract blindness, increasing sight-restoring surgeries among the bilaterally blind are essential. To improve uptake of surgical services among this group, evidence regarding the problems of access is vital. Barriers in accessing eye care services have previously been reported but not specific to bilaterally cataract blind patients. Further, there is a gap in knowledge regarding factors facilitating access to eye care. Our aims were to (1) report proportion of bilaterally cataract blind patients undergoing surgery and sight restoration rate (SRR) and (2) analyze barriers and factors enabling access to eye care services among bilaterally cataract blind patients.Methods:Retrospective analysis of interview and clinical data of bilaterally cataract blind patients undergoing surgery through outreach services at the base hospital, from June 2015 to May 2016, was performed. Demographic data, vision, postoperative visual outcomes, barriers, and facilitating factors in accessing cataract surgical services were obtained.Results:Bilateral cataract blindness was present in 196/3178 (6.2%, 95% confidence interval 5.4–7.06) patients. SRR was 6.5%. Fear of surgery (24.2%) and lack of family support/escort (22.9%) were the most common barriers. Neighbors and acquaintances (28.6%), general health workers (20.2%), and persons who had undergone cataract surgery (19.6%) were the most common facilitating factors.Conclusion:Proportion of bilaterally cataract blind people undergoing surgery and consequently SRR were low. The most common barriers were at the individual level while facilitating factors at the community level were instrumental in promoting uptake of services. Interventions involving community-based support for the blind may be useful in overcoming barriers to eye care.

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Section: Discussionmentioning

confidence: 99%

Facilitating factors in overcoming barriers to cataract surgical services among the bilaterally cataract blind in Southern India: A cross-sectional study

Amritanand

Jasper

Paul

et al. 2018

Indian J Ophthalmol

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“…1 In India, the prevalence of age related cataract is extremely high necessitating a large number of cataract surgeries. 5,6 India is now the diabetic capital of the world with other comorbidities trailing not far behind. [7][8][9] A large proportion of patients (almost 50%) undergoing cataract surgery in India are found to have co-morbidities like diabetes, hypertension, CKD, COPD, bronchial asthma and seizure disorder.…”

Section: Discussionmentioning

confidence: 99%

Cataract and systemic comorbidities – A retrospective study

P¹,

Prasanth²,

Hansdak³

et al. 2021

IJCEO

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To determine the prevalence of major systemic co-morbidities such as diabetes mellitus, systemic hypertension, chronic kidney disease and ischaemic heart disease among patients undergoing cataract surgery and to determine the demographic details of these co-morbidities among the cohort of cataract patients. Materials and Methods: A retrospective study of cataract surgery charts of those patients operated between Jan 2017 and Dec 2018 was undertaken. Assessment of age, gender, prevalence of above mentioned systemic comorbidities and their age wise frequency distribution among the cohort of cataract patients was done. Results: Among 2444 cataract charts analysed, 378 (15.47%) were found to have comorbidities. 88.6% of cataract patients with comorbidities were found to be between 50-75 years of age with a mean age of 63±8.997 years. 58.2% were females and 41.8% were males among the patients with comorbidities. Hypertension and diabetes were the highest contributors occurring in 78.1% of the comorbid patients with a mean age of 63 ± 8.2 years. Conclusion: An increasing prevalence of non-communicable diseases even in rural population, necessitates a thorough screening before cataract surgery to ensure fitness of the patients for cataract surgery.

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“…9,10 A better visual outcome is achieved with fewer intraoperative complications in outreach camps where surgeries will be done at base hospital. 11 This study aims to find out effectivity of outreach camps in reducing the burden of cataract-related blindness.…”

Section: Discussionmentioning

confidence: 99%

“…A poor visual outcome has been reported in 15-25%of eyes following cataract surgery (1999); 13 another recent report (2016) by Paul et al and Senjum et al (2009-13) his suggestive of poor visual outcome in 8.8% and 9.4% cases respectively. 11,14 A study from central India (2011) revealed the need for improved surgical technique and improved IOL power calculation may markedly improve the visual outcome as 2 out of 3 eyes in their cohorts had poor postoperative visual outcome. 8 So we emphasized the accuracy of IOL power calculation and improving the quality of surgery to rectify this.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of cataract surgery in other studies ranges from 11-35%, in our study is 16.75%. This is a little 11,15,16 Tireless efforts by our camp in charge optometrist and local PHC ophthalmic assistant in doing the advertisement of camp in the form of print and electronic media as well as the routine screening of cataracts during patient's PHC visit has helped us. Quality service provided by us for years; helps in building faith in patients and convincing patients for surgery.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of rural camps in achieving vision 2020: Our contribution

Gajapati

Patil²,

Desai³

2021

IJCEO

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: To assess the effectiveness of rural camps held under DBCS (District Blindness Control Programme) & compare the results of cataract surgery at base hospital cases. It is a retrospective observational study, medical records of patients operated for cataract in camp & patients operated in base hospital are analyzed.In our hospital outpatient department, we saw 2,08,716 patients from 2010-2019 and 7796 underwent cataract surgery. Under DBCS we conducted 262 camps from 2010-2019 & 4611 underwent cataract surgery.A total of 27,524 patients got screened in 262 rural camps and 4671 underwent small incision cataract surgery at the base hospital after detailed clinical examination and IOL (intraocular lens) power calculation for each patient. Among 2,08,716 outpatients at the base hospital, 7796 underwent cataract surgery. The rate of intraoperative complications in the base hospital was 0.885% whereas in camp cases 1.94%.IOL implantation is done in 100%cases in base hospital surgeries and 0.064%patients left aphakic among rural camps.Screening at outreach camps and surgeries at the base hospital can have excellent results. Mass surgeries in camps following standard protocol can have the least number of complications.

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Prevalence and Visual Outcomes of Cataract Surgery in Rural South India: A Cross-Sectional Study

Abstract: The high prevalence of avoidable causes of visual impairment in this rural setting indicates the scope for preventive strategies.

Cited by 10 publications

References 22 publications

Facilitating factors in overcoming barriers to cataract surgical services among the bilaterally cataract blind in Southern India: A cross-sectional study

Facilitating factors in overcoming barriers to cataract surgical services among the bilaterally cataract blind in Southern India: A cross-sectional study

Cataract and systemic comorbidities – A retrospective study

Efficacy of rural camps in achieving vision 2020: Our contribution

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