Transcript Slide 1

IAPB 9th General Assembly
HICC Hyderabad
19 September 2012
Long term visual outcome after
cataract surgery in a district
community eye care centre in rural
Nepal
Sunu Dulal MD MSc (ICEH)
Nepal Netra Jyoti Sangh
Introduction
• >80% of the blind people live in rural community of
the developing countries.
• Resources for the eye care service delivery remains
at the cities.
• There are barriers for the people living in the
community to come to the hospital
• Surgical Eye camps are still the most effective way to
provide eye care services to the people in country
like Nepal
Methodology
• Stratified cluster sampling, 24 clusters
• After a random start, 50 individuals aged 50+ were
enumerated and examined sequentially. All those who
had undergone cataract surgery for longer than a year
and consented for the study were included for the
study.
• VA were recorded. Those with VA of <6/18 were dilated
and examined by ophthalmologist to find cause for
poor vision. 1,200 individuals aged 50 years and above
were enumerated and 144 eyes were included for the
study
Findings
Visual Acuity
Presenting VA
BCVA
6/6-6/18 Good
95 (66.0%)
116 (80.6%)
<6/18-6/60 Borderline
18 (12.5%)
13 (9.0%)
<6/60 Poor
31 (21.5%)
15 (10.4%)
Causes of Poor visual outcome:
Pre existing ocular disease (Selection): 10 (66.7%)
Surgical Complication (Surgery):
3 (20%)
Long term complication (Sequelae):
2 (13.3%)
Conclusions
• Eye camps are still one of the effective way to
provide surgical services in remote places
• Case selection very important
• Experienced surgeon, strict adherence to the
surgical protocols and periodic follow up are
the major contributing factors for the success
of the eye camps
Thank You
Before Surgery
After Surgery