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IAPB 9th General AssemblyHICC 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
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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
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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
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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%)
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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
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Thank You
Before Surgery After Surgery