Utilization of eye care services among those with unilateral visual impairment in rural South India: Andhra Pradesh Eye Disease Study (APEDS)

Marmamula, Srinivas; Giridhar, Pyda; Khanna, Rohit C

doi:10.18240/ijo.2017.03.23

Cited by 12 publications

(24 citation statements)

References 28 publications

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“…This is a reflection of the conditions in rural areas of India, where travelling is difficult and a visit to the hospital is usually undertaken only if it is thought absolutely necessary. [ 17 ]…”

Section: Discussionmentioning

confidence: 99%

Six years after manual small incision cataract surgery—Perspective from a secondary level eye hospital in Rural India

Sen

2021

Indian Journal of Ophthalmology

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Purpose: We assessed the long-term impact of manual small incision cataract surgery (MSICS) in rural Central India using patient reported outcomes (PRO). Methods: 841 patients undergoing MSICS by a single surgeon from January 2012 to July 2013 were included. The same patients were contacted telephonically in November 2019 and were asked to report their perceived outcome of the cataract surgery. Data on the fellow eye status were also collected. These data were compared with objective data recorded at the time of surgery. Results: The mean age was 61.53 ± 10.9 with 59% women. 96% had presenting visual acuity (VA) ≤5/60. 86% had visually significant cataract in the fellow eye; 2.5% were cataract blind. 85% had unaided VA ≥ 6/18 at 6 weeks. 223 patients were contactable by telephone after 6 years. 55 had expired and their relatives gave the information. Of these, 90% reported “good” outcome. PRO at 6 years and unaided VA at 6 weeks after surgery correlated significantly ( P = 0.05). 40% had undergone cataract surgery of the fellow eye in the interim. Of those who reported “not good” outcome, 70% had undergone fellow eye surgery, compared with 38% in those who reported “good” outcome ( P = 0.005). Conclusion: Telephonic PRO correlates with unaided VA 6 years after cataract surgery and could replace a follow-up visit. A PRO of poor vision in the already operated eye was the only factor correlating with fellow eye surgery.

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Section: Discussionmentioning

confidence: 99%

Six years after manual small incision cataract surgery—Perspective from a secondary level eye hospital in Rural India

Sen

2021

Indian Journal of Ophthalmology

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“…On the whole, various studies – some, as old as quarter-century ago to the most recent ones, have all highlighted a variety of barriers for the uptake of cataract surgical services in India. [ 5 8 11 14 15 16 20 ] Some studies have even reported a shift in the barriers over time. [ 5 14 ] Moreover, the barriers identified in this study are in no way different from that of the previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…[ 9 10 11 ] Studies in this current decade revealed that apart from costs, other barriers include awaiting maturation, other health conditions, and interestingly, those that appear to be more related to service providers. [ 12 13 14 15 ] Majority of these studies on barriers investigated populations in the southern, western, and northern parts of India and none from the northeastern parts of India. We present this study from the Kolasib district of Mizoram in Northeast India with the objective of determining the barriers to the uptake of cataract surgical services and comparing the pattern seen in this part of India and rest of the country.…”

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confidence: 99%

Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India

Kumar

Mondal

Vishwakarma

et al. 2018

Indian J Ophthalmol

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Purpose:Reliable data on the barriers to the uptake of cataract surgical services in the Northeast Indian states are scanty. The purpose of this study was to assess the barriers to uptake of cataract surgical services among elderly patients and suggest appropriate strategies to reduce these.Methods:A cross-sectional study was conducted among patients who failed to avail cataract surgical services, 6–12 months’ postinitial diagnosis at a community eye health camp. Validated questionnaire was used to collect information through face-to-face interviews at the residence of the participants. Descriptive statistics and Chi-square tests were conducted to assess the association between the barriers quoted and sociodemographic variables.Results:A total of 140 (89.2%) individuals participated in the study, of whom 56 (40%) were aged between 71 and 80 years. The median age for men and women was 73.5 and 72.5 years, respectively. About 57% of participants were female patients. A total of 66 (47.1%) participants had borderline visual acuity followed by those with poor vision (41.4%, n = 58). “Bad roads/difficult terrain” (P = 0.009), “witnessed bad surgical outcomes in others” and “did not feel important” (P < 0.024), “poor overall health status” (P < 0.001), “lack of information” (P = 0.025) and “no escort” (P = 0.025) were significant barriers reported by this population.Conclusion:Most of the barriers reported in this study seem to be endogenous in nature and appear to be within the purview of the local eye care service provider to remedy. Counseling and targeted awareness and information, education, and communication strategies could nullify many of the barriers reported in this study.

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“…diagnosis (Scott et al, 2016). The lack of opportunities for routine consultation in rural areas in some countries has been reported as a risk factor for irreversible visual compromise, especially when it is linked to diseases such as diabetic retinopathy and glaucoma (Marmamula et al, 2017). In this report, the situation is even more serious because malignant hyperpigmented lesions of the ocular surface, which originated from a primary acquired melanosis on a conjunctival nevus, can cause death if not detected and treated on time.…”

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confidence: 92%

A Rare Case of Conjunctival Melanoma with Orbital Invasion

Guerra-Perez

Bonilla‐Escobar

Salamanca³

et al. 2020

Nep J Oph

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Utilization of eye care services among those with unilateral visual impairment in rural South India: Andhra Pradesh Eye Disease Study (APEDS)

Abstract: A large proportion of rural population though noticed a change in their vision did not seek eye care due to financial and person-related reasons. Eye care service providers need to address these barriers to enhance the uptake of eye care services among those with unilateral VI.

Cited by 12 publications

References 28 publications

Six years after manual small incision cataract surgery—Perspective from a secondary level eye hospital in Rural India

Six years after manual small incision cataract surgery—Perspective from a secondary level eye hospital in Rural India

Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India

A Rare Case of Conjunctival Melanoma with Orbital Invasion

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