Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda

Sebabi, Francis O; Okello, Walter; Nakubulwa, Faith; Sempindu, Rogers; Driciru, Catherine; Nalukenge, Caroline; Mulinde, Ben; Nakiyingi, Lydia; Nakanjako, Damalie; Ssali, Grace; Musika, Anne A

doi:10.4314/ahs.v21i3.36

Cited by 3 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Peru, 13.5% of the population has visual impairment, and one in six adults over 50 has cataracts, showing the heavy burden of eye conditions in the country (15,16). Aging, delayed diagnosis, and health conditions such as diabetes significantly contribute to the increased prevalence of cataracts (17)(18)(19)(20)(21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Inequalities in the Visual Assessment of Older Adults with Cataracts in Peru

Intimayta-Escalante,

Vitteri-Soto

2024

Preprint

View full text Add to dashboard Cite

IntroductionIn Peru, one in six adults over 50 years old has cataracts. This proportion increases due to the lack of routine visual assessments among older adults. Therefore, the objective of this research was to evaluate the socioeconomic inequalities in visual assessments among older adults with cataracts in Peru.MethodsThis analytical cross-sectional study was conducted using data from the Demographic and Family Health Survey in Peru from 2013 to 2023. Socioeconomic conditions such as gender, age, educational level, wealth quintile, area or place of residence, health insurance status, and comorbidities were evaluated. Inequalities were estimated using the concentration index (CI) and Erreyger’s modification (ECI).ResultsOf the 6,367 older adults with cataracts included in the study, 93.1% (95%CI: 92.2–93.9) had a visual assessment. The average age of the participants was 76.7 years, with over half of them being women (56.2%). Conditions such as educational level, wealth quintile, area or place of residence, and comorbidities mediated differences in the proportion of adults with cataracts who had visual assessments (p<0.001). Adults without education (ECI: -0.16), residents of rural areas (ECI: -0.41), or those outside Lima (ECI: -0.51) exhibited greater inequalities in receiving visual assessments.ConclussionAmong older adults with cataracts, living in rural areas or outside Lima and having a low educational level were identified as key factors mediating greater inequality in visual assessments.

show abstract

Section: Introductionmentioning

confidence: 99%

Socioeconomic Inequalities in the Visual Assessment of Older Adults with Cataracts in Peru

Intimayta-Escalante,

Vitteri-Soto

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…G laucoma and visually significant cataracts often coexist due to shared epidemiological characteristics and risk factors [1][2][3] . Both diseases are also leading causes of blindness in developed and developing countries [4][5][6] . The presence of cataracts can hinder prompt and accurate diagnosis of glaucoma due to compromised visualization of the optic nerve and poor visual field and optical coherence tomography (OCT) testing reliability.…”

Section: Introductionmentioning

confidence: 99%

Outcomes after combined excisional goniotomy and manual small incision cataract surgery

Alvarez-Ascencio¹,

Kahook²

2022

Int J Ophthalmol

View full text Add to dashboard Cite

AIM: To report the long-term outcomes of combined excisional goniotomy and manual small incision cataract surgery (MSICS). METHODS: This is a retrospective case series of patients with open angle glaucoma and visually significant cataracts that underwent combined excisional goniotomy and MSICS with one-year follow-up. The medical history, demographic information, and clinical characteristics of each case were recorded. Data regarding changes in vision, intraocular pressure (IOP), the number of glaucoma medications, and the evolution of the disease after surgery were reported. RESULTS: Three patients, with open angle glaucoma and cataracts underwent combined excisional goniotomy and MSICS without adverse events. All patients had improvement in vision compared to baseline measurements. The range of IOP at baseline was from 14 to 18 mm Hg and decrease to a range of 10 to 14 mm Hg after one year of follow-up. Additionally, two patients also decreased their dependence on IOP-lowering medications at the last follow up visit with one patient maintaining baseline level of medication use. CONCLUSION: A combination of excisional goniotomy and MSICS illustrates both the safety and efficacy to treat patients with visually significant cataract and glaucoma. This procedure allows for a more cost-effective surgical approach that matches the needs of resource strained territories around the globe.

show abstract

Is the likelihood of receiving cataract surgery determined by place of residence? A systematic review and meta-analysis

Fachir,

Arifin,

Febriana

et al. 2023

GJCSRO

View full text Add to dashboard Cite

Objectives: This study aims to systematically review the literature and identify the association between place of residence and cataract surgery utilisation. Materials and Methods: We conducted a systematic review and meta-analysis according to preferred reporting items for systematic review and meta-analysis guidelines. A literature search was performed on PubMed and ProQuest databases, screening all related articles in the past 10 years (2012–2022). Data were analysed using RevMan 5.3 software, with pooled effect estimates reported as an odds ratio (OR) with a 95% confidence interval (CI). Results: A total of 10 studies from eight articles were identified and included in the meta-analysis. The pooling results of these studies suggest that there is a statistically significant association between residence and cataract surgery utilisation. Those who live in rural areas (OR: 0.70, 95% CI: 0.52–0.95, P = 0.02) are 0.7 times less likely to use cataract surgical services compared to urban areas. The heterogeneity was significant (P < 0.0001 and I2 = 76%) and a random effect model was adopted. Conclusion: Our findings indicate that there is an association between place of residence and cataract surgery utilisation, with individuals residing in rural areas being less likely to use such treatment. These findings can inform targeted interventions aimed at improving cataract surgical coverage among rural populations.

show abstract

Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda

Cited by 3 publications

References 9 publications

Socioeconomic Inequalities in the Visual Assessment of Older Adults with Cataracts in Peru

Socioeconomic Inequalities in the Visual Assessment of Older Adults with Cataracts in Peru

Outcomes after combined excisional goniotomy and manual small incision cataract surgery

Is the likelihood of receiving cataract surgery determined by place of residence? A systematic review and meta-analysis

Contact Info

Product

Resources

About