Rupert Bourne
Outcomes of cataract surgery in Bangladesh: results from a population based nationwide survey
evaluate outcome cataract surgery population bangladeshdata collected national blindness low vision prevalence survey bangladesh cross sectional nationally representative sample 12 782 subjects population aged or30 years interview recorded socioeconomic data subject tested logmar visual acuity va eye autorefracted underwent optic disc examination 612 va presentation either eye retested refractive correction dilated examined anterior posterior segment disease aphakic pseudophakic subjects date location operating conditions eye camphospital type operations recorded11 624 eligible subjects examined 909 response rate survey 162 subjects 77 men 85 women undergone cataract surgery one eyes 199 88 eyes undergone intracapsular cataract extraction icce 22 10 extracapsular surgery intraocular lens ecceiol surgical techniques four cases identified presenting va 226 operated eyes 68 eyes 301 612 better 31 137 612 or618 63 279 618 660 8 35 660 or360 56 248 360 best refractive correction values 114 504 31 137 51 226 5 22 25 111 respectively 158 eyes va 612 worse presentation 44 28 result coincident disease principally age related macular degeneration 95 60 refractive error 44 uncorrected aphakia 19 12 operative complications icce likely result va 618 426 p 001 ecceiol likewise eye camp surgery likely result va 660 198 p 004 significant association found time since surgery va outcome sex difference postoperative vision literate subjects significantly less likely outcome 618 238 p 001 660 287 p 001 following icce 199 eyes 56 37 151 eyes aphakic spectacle correction achieved 612 better females eye camp surgeries illiterate subjects rural dwellers less likely wear aphakic correction ratio icceecceiol reduced past 3 years 381 compared or4 years survey 251 hospital based ecceiol surgeries associated better outcome yet 36 eyes 612 postoperatively excluding coincident diseasethis evaluative research study cataract surgery outcomes bangladesh highlights need improvement quality increased quantity surgery balanced distribution services