Using social epidemiology to understand who stays blind and who gets operated for cataract in a rural setting

Brilliant, Girija E.; Brilliant, Lawrence B.

doi:10.1016/0277-9536(85)90040-1

Cited by 50 publications

(31 citation statements)

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“…Majority of the patients (49%) were in the age group of 61-70 years somewhat similar to those reported by Soundarssanane et al 11 14 (93.5%) and 17 (5.6%) cases had not heard about it. Majority of the cases (40.6%) in our study got the knowledge regarding cataract surgery from their relatives and other villagers similar to the study by J. Bhagwan et al who reported that 73.79% of people got to know from their peer group/relatives.…”

Section: Discussionsupporting

confidence: 87%

“…About 67.3% cases did not know the exact age group affected, while 10.3% cases opined that it occurs at the age of 50-60 years, which shows the lack of knowledge regarding cataract among the study population. Brilliant and Brilliant 14 found majority of the cases citing unspecific causes. 72.3% cases could not cite any specific reason regarding how cataract occurs and the rest cited ageing religious and socioeconomic causes as the reason.…”

Section: Discussionmentioning

confidence: 98%

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Awareness and Attitude Regarding Cataract Surgery Among Senile Cataract Cases Attending Camps

2017

IJCRR

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Context: Study conducted in district of North Karnataka where majority of the population are illiterate and have poor access to treatment of cataract. People have different concepts regarding cataract Aims:The present study is an attempt to know the knowledge, attitude and practices regarding cataract surgery Settings and Design: All the camp cases screened during the period Dec-May 2012 from 6 neighboring villages for 6 months were included in the study. The data was collected by interview technique Methods and Material: A Cross-sectional study was carried over a period of 6 months. The results were analysed using proportion and chi-square test. Statistical analysis used:The results were analysed using proportion and chi-square test. Results:In the present study, 81% were illiterates and 50% were unemployed. Majority of them (67%) were females. The knowledge about cataract related to, 'at what age it occurs' and how it occurs was found statistically significant with relation to education. Regarding reasons for not getting surgery done, 64(21.3%) cases cited lack of escort as the reason, 148(49.3%) cases managed with existing eyesight, 49(16.3%) cases cited economic reasons. The socioeconomic status versus preference of surgery with or without lens found to be significant (p<0.001). Conclusions:There are lot of misconceptions regarding cataract and its surgery among the public. We need to explore their myths regarding cataract surgery and bridge the gap between their knowledge and the actual causes and thus prevent cataract blindness.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 98%

Awareness and Attitude Regarding Cataract Surgery Among Senile Cataract Cases Attending Camps

2017

IJCRR

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“…4 Many developing countries such as India, Pakistan, Kenya and Gambia have demonstrated that ophthalmic services can be brought closer to the people through use of mobile camps, cottage hospitals and outreach clinics from distant or bigger city hospitals. 2 The advantage in this arrangement is that it brings both clinic and surgery into the patients own familiar environment thus providing treatment with a minimum alteration in their way of life in the village.…”

Section: Introductionmentioning

confidence: 99%

A comparative evaluation of outcome of cataract surgery at Ago-Iwoye, Ogun State

Bekibele¹

2010

Nigerian Journal of Surgical Research

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Objective: To compare the outcome of cataract surgery using intracapsular/ extracapsular extraction alone to surgery with lens implantation. Methods: A retrospective review of all patients who had cataract surgery by all methods between February 1998 and October 1999 at St Mary's Catholic eye hospital Ago-Iwoye, Ogun state, for post operative visual acuity and surgery related complications. Results: Two hundred and forty nine eyes of 211 patients were reviewed. 128 (60.7 %) were males and 83(39.3) were females. The age range was from 9years to 90years. Post op vision of 6/18 or better was present in 71% of the posterior chamber intra ocular lens (PC-IOL) group; 50% of anterior chamber lens (AC-IOL) group, 62% of intracapsular cataract extraction (ICCE) group and 31.2% of the extracapsular cataract extraction group. Preventable causes of poor visual outcome were present in 14.9% 0f the cases reviewed especially the ECCE and ICCE groups and included: posterior capsule opacity, uveitis, cystoid macular oedema and endophthalmitis. Poor outcome was associated with pre-existing ocular disease in 10.8% of the eyes operated and were due to pre-existing glaucoma, macular degeneration, optic atrophy and diabetic retinopathy. Conclusion: Best functional visual results are obtained by modern techniques of ECCE with IOL, which ensures that the patient has adequate post op vision for his needs. Adequate case selection to exclude preexisting ocular morbidity as well as prevention or proper management of surgery related complications when they occur are also essential for satisfactory results. Older techniques of ICCE or ECCE with out IOL are associated with less satisfactory functional visual acuity and should therefore be discouraged.

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“…Although the current prevalence of diabetic retinopathy seems to be relatively low, the estimated increase in the magnitude of diabetes in India and the potential for a consequent higher prevalence of diabetic retinopathy suggest an immediate need to establish control measures so that diabetic retinopathy does not become a major cause for vision impairment and blindness. Such control measures will have to, however, bear in mind possible barriers that prevent optimal eye care service uptake previously reported from this population (6,7). Attempts to address barriers to cataract surgery in India have focused primarily on community outreach programs to improve access to the underserved populations and to reduce costs to patients and have succeeded in increasing uptake to some extent (8).…”

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confidence: 99%

Developing a Screening Program to Detect Sight-Threatening Diabetic Retinopathy in South India

2003

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OBJECTIVE -To develop a screening protocol for detection of sight-threatening diabetic retinopathy in south India.RESEARCH DESIGN AND METHODS -We performed ophthalmic examinations, including posterior segment examination, using indirect ophthalmoscopy to detect sightthreatening retinopathy in patients with diabetes in screening camps targeting a high-risk population.RESULTS -We examined 3,949 persons with diabetes in 32 screening camps over a 13-month period beginning July 2001. Most of the patients (93.6%) were aware of their diabetic status, and 84.2% of those aware of their diabetes status were on treatment. One-fifth of those screened had evidence for any retinopathy; only 6.1% of these persons had evidence of past ophthalmic treatment for retinopathy. Only one-quarter of those diagnosed with worse than mild retinopathy came for follow-up to the base hospital within 2 months.CONCLUSIONS -Screening high-risk groups for sight-threatening retinopathy using indirect ophthalmoscopy may be a useful short-term alternative for India until retinal photography becomes affordable. In addition to strategies to improve coverage, strategies for better follow-up of subjects screened also need to be evolved. Diabetes Care 26:1831-1835, 2003D iabetic retinopathy is recognized as one of the ocular diseases with public health implications in India due to several reasons, including 1) an estimated 57 million people in India may be diabetic by 2025 (195% increase from 1995) and 2) the risk of sight-threatening retinopathies is higher in diabetic adults (1)(2)(3)(4)(5). A recent population-based crosssectional study from south India estimated a 1.3% prevalence of diabetic retinopathy among those aged Ն50 years (1). Although the current prevalence of diabetic retinopathy seems to be relatively low, the estimated increase in the magnitude of diabetes in India and the potential for a consequent higher prevalence of diabetic retinopathy suggest an immediate need to establish control measures so that diabetic retinopathy does not become a major cause for vision impairment and blindness. Such control measures will have to, however, bear in mind possible barriers that prevent optimal eye care service uptake previously reported from this population (6,7). Attempts to address barriers to cataract surgery in India have focused primarily on community outreach programs to improve access to the underserved populations and to reduce costs to patients and have succeeded in increasing uptake to some extent (8). Although it may seem logical that a similar approach can be adopted for diabetic retinopathy, the low population prevalence suggests a possible low yield of diabetic retinopathy in outreach programs targeting entire populations, with consequent implications on sustainability of programs. Targeting high-risk groups such as known diabetic individuals for community screening may help to increase yield of diabetic retinopathy cases without compromising sustainability of the program.We initiated a pilot project in Tamil Nadu state of south Ind...

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Using social epidemiology to understand who stays blind and who gets operated for cataract in a rural setting

Cited by 50 publications

References 4 publications

Awareness and Attitude Regarding Cataract Surgery Among Senile Cataract Cases Attending Camps

Awareness and Attitude Regarding Cataract Surgery Among Senile Cataract Cases Attending Camps

A comparative evaluation of outcome of cataract surgery at Ago-Iwoye, Ogun State

Developing a Screening Program to Detect Sight-Threatening Diabetic Retinopathy in South India

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