CLINICAL PROFILE, RISK FACTORS, AND VISUAL OUTCOME AFTER CATARACT SURGERY IN ELDERLY PATIENTS: A HOSPITAL-BASED STUDY
Main Article Content
Keywords
Cataract surgery, elderly, visual outcome, risk factors, central India, BCVA.
Abstract
Background: The elderly are the most affected segment of the cataracts which is the common cause of blindness. After cataract surgery assessment of visual outcomes and their associated risk factors is important for quality improvement of eye care services.To describe the clinical profile, identify risk factors, and evaluate visual outcomes after cataract surgery in elderly patients (≥60 years) at a tertiary care hospital in central India.
Methods: A hospital-based observational study was conducted from January 2022 to June 2022 involving 200 patients aged ≥60 years who underwent cataract surgery with IOL implantation. The visual outcome was classified as good (BCVA ≥6/18), borderline (BCVA <6/18 to ≥6/60) or poor (BCVA <6/60) at 4–6 weeks after surgery.
Results: The average age was found to be 68.4. Participants were 52% male. Thirty-five percent (35%) of diabetes mellitus and forty-five percent (45%) hypertension. 20% had a posterior segment diseases prior. The overall visual outcome was satisfactory in 84% of cases, borderline in 11.5% and poor in 4.5%. The presence of posterior segment disease, intraoperative complications, and older age were significantly associated with poor outcomes.
Conclusion: Cataract surgery at tertiary care center in central India in elderly patients gives a good visual outcome in most of the patients. Further improving outcomes requires the addressal of modifiable risk factors such as posterior segment disease, diabetes, and surgical complications.
References
2. Murthy GVS, Gupta SK, Bachani D, Jose R, John N. Current estimates of blindness in India. Br J Ophthalmol. 2005;89(3):257–60. DOI: 10.1136/bjo.2004.056937; PMID: 15722298; PMCID: PMC1772536.
3. Jose R, Bachani D. World Bank-assisted cataract blindness control project. Indian J Ophthalmol. 1995;43(1):35–43. PMID: 8522371.
4. Matta S, Park J, Palamaner Subash Shantha G, Khanna RC, Rao GN. Cataract surgery visual outcomes and associated risk factors in secondary level eye care centers of L V Prasad Eye Institute, India. PLoS One. 2016;11(1):e0144853. DOI: 10.1371/journal.pone.0144853; PMID: 26741363; PMCID: PMC4711773.
5. Tiwari A, Padmey I. The visual outcomes after cataract surgery in urban slums of Raipur, Chhattisgarh, India: a cross sectional study. Int J Community Med Public Health. 2019;6(2):638–43. DOI: 10.18203/2394-6040.ijcmph20190183.
6. World Health Organization. Monitoring visual outcome of cataract surgery in India. WHO Regional Office for South-East Asia.
7. Nangia V, Jonas JB, Gupta R, Khare A, Sinha A. Prevalence of cataract surgery and postoperativevisual outcome in rural central India. J Cataract Refract Surg. 2011;37(11):1932–8. DOI: 10.1016/j.jcrs.2011.08.020; PMID: 21908172.
8. Nirmalan PK, Thulasiraj RD, Maneksha V, Rahmathullah R, Ramakrishnan R, Padmavathi A, et al. A population based eye survey of older adults in Tirunelveli district of south India: blindness, cataract surgery, and visual outcomes. Br J Ophthalmol. 2002;86(5):505–12. DOI: 10.1136/bjo.86.5.505; PMID: 11973242; PMCID: PMC1771133.
9. Dandona L, Dandona R, Naduvilath TJ, McCarty CA, Rao GN. Is current eye-care-policy focus almost exclusively on cataract adequate to deal with blindness in India? Lancet. 1998;351(9112):1312–6. DOI: 10.1016/S0140-6736(97)09509-3; PMID: 9643793.
10. Vashist P, Talwar B, Gogoi M, Maraini G, Camparini M, Ravindran RD, et al. Prevalence of cataract in an older population in India: the India study of age-related eye disease. Ophthalmology. 2011;118(2):272–8. DOI: 10.1016/j.ophtha.2010.05.020; PMID: 20801514; PMCID: PMC3146699.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Urvashi
PG Resident, Department of Opthalmology S.S. Medical college, Rewa(M.P)
Dr. Bimalesh Ojha
PG Resident, Department of Opthalmology S.S. Medical college, Rewa(M.P)
