Visual outcomes after cataract surgery among the elderly residents in the ‘homes for the aged’ in South India: the Hyderabad Ocular Morbidity in Elderly Study

Abstract

Background/AimTo report visual outcomes and factors associated with good visual outcomes after cataract surgery among the elderly residents in ‘homes for the aged’ in Hyderabad, India.MethodsIndividuals aged ≥60 years were recruited from 41 ‘homes for the aged’. All participants had a detailed eye examinations including visual acuity (VA) assessment , refraction, slit-lamp examination and fundus imaging by trained professionals. A detailed history of cataract surgery was recorded. Multivariate logistic regression was used to determine the factors associated with good visual outcomes after cataract surgery which was defined as presenting VA of 6/18 or better in the operated eye. Visual impairment (VI) is defined as presenting VA worse than 6/18 in the operated eye.Results1215 eyes of 703 individuals had cataract surgery. The mean age of these participants was 77.5 years (SD: 8.2 years; range: 60–108 years), 66.8% were women, 29.9% reported diabetes and 61% reported hypertension. 406/1215 (33.4%; 95% CI 30.8 to 36.1) eyes had VI after cataract surgery. Posterior capsular opacification (31.8%; n=129) was the leading cause of VI followed by uncorrected refractive error (24.1%; n=98). The prevalence of good outcomes was 66.6% (95% CI 63.8 to 69.2). On applying multivariable analysis, younger age, self-reported hypertension, independent mobility, surgery in a non-government (as opposed to private) hospital and undergoing paid surgery were associated with good outcomes.ConclusionsOne-third of the eyes of elderly individuals living in homes for the aged that had previously undergone cataract surgery had VI. Regular eye examinations with the provision of laser capsulotomy and appropriate refractive correction can substantially improve their vision.

Provision of eye care services and interventions in care homes: a narrative synthesis review

“…A total of 2 studies assessed the provision of eye care services in care home settings (Table 1 ), 1 from Canada and 1 from South India [ 26 , 27 ]. There were no studies from the UK.…”

“…Despite this, 86.9% of 196 responding care homes (45.8% response rate) were satisfied with the level of eye care provision to their unit [ 26 ]. Marmamula et al [ 27 ] assessed the provision of eye care in care homes in South India. Care home residents all underwent eye examinations and ophthalmic surgical history demonstrated that nearly 60% had cataract surgery in at least one eye and bilateral surgery in 43.3%.…”

“…Majority has 85.9% have external access to optometrist/ophthalmologist. 86.9% satisfied with eye care services offered for residents Marmamula 2021 [ 27 ] India 41 1182 > 60 Observational Cataract surgery prevalence and outcome 59.5% had cataract surgery in at least one eye. Prevalence of bilateral surgery 43.3%, highest amongst > 80 years 64.3%—private hospitals vs 24% in non-government hospitals vs 11.7% in government hospitals.…”

Visual Outcomes of Phacoemulsification in Senile Cataract Patients in Purworejo Indonesia

“…This finding was consistent with the finding of a recent study in India that reported younger age as one of the predictors of good postoperative outcome. 19 Phacoemulsification was done in 58 eyes (80.0%) with immature cataract and 14 eyes (20.0%) with mature cataract. This indicated that most of the patients in Panti Waluyo Hospital had enough information or knowledge about cataract so they mostly got their eyes checked by the doctor at an earlier stage of cataract.…”

Research on protein solubility prediction based on ensemble learning and feature fusion

“…In addition, the sickness rate of cataract may be increased markedly along with the added number of insoluble proteins in the lens [8] . The disease not only has a long-term influence on the normal life of the elderly but also brings about a series of complications [9] . Additionally, several soluble immune checkpoints [10] are based on soluble proteins such as soluble CTLA-4 and soluble PD-1.…”