Visual Outcomes and Astigmatism After Sutureless, Manual Cataract Extraction in Rural China

Preoperative characteristics and compliance with follow-up after trabeculectomy surgery in rural southern China

“…One report on early assessment of cataract surgery at 40 hospitals in Africa, Asia and Latin America21 found that the 6-week follow-up rate in China (27%) was the lowest among 11 countries surveyed, while the mean follow-up rate across all institutions was 51%. A report on postcataract surgical follow-up from Africa22 has detailed similar low rates of medium-term follow-up: 54% at 8 weeks postoperatively, though studies in rural China23 24 have demonstrated that phone contact and offers of compensation can result in follow-up at 3–12 months in excess of 80%. The very few studies reporting follow-up rates after glaucoma surgery in developing areas give somewhat higher figures: 84% at 1 month in China14 and 58% at a year in India,9 though neither study was designed specifically to assess follow-up under routine conditions, and these results may not be representative.…”

“…The very few studies reporting follow-up rates after glaucoma surgery in developing areas give somewhat higher figures: 84% at 1 month in China14 and 58% at a year in India,9 though neither study was designed specifically to assess follow-up under routine conditions, and these results may not be representative. Among the few studies reporting on determinants of postoperative follow-up after eye surgery in low-income and middle-income countries, lack of knowledge,14 rural residence,14 visual impairment,14 low income23 and failure to recall physician's instructions to return24 were risk factors for poor compliance.…”

Distribution and visual impact of postoperative refractive error after cataract surgery in rural China

“…23 All patients having cataract surgery in at least 1 eye through the Project Vision/Caring Is Hip program at the Sanrao Hospital in Guangdong, China, by 1 of 2 recently trained local surgeons between August 8 (when surgeons first began to operate independently) and December 31, 2005, were eligible to participate. No other inclusion or exclusion criteria were used.…”

“…Modifications for the refractive error in the fellow eye were not made as most patients had visually significant cataract in both eyes. 23,26 Sutureless large-incision manual cataract extraction is a modification of previous manual sutureless cataract extraction techniques. 23 Manual sutureless cataract surgery was developed for use in areas in which resources are scarce, where the startup costs and recurring expenses of phacoemulsification may be problematic.…”

“…23,26 Sutureless large-incision manual cataract extraction is a modification of previous manual sutureless cataract extraction techniques. 23 Manual sutureless cataract surgery was developed for use in areas in which resources are scarce, where the startup costs and recurring expenses of phacoemulsification may be problematic. Manual sutureless surgery can provide the rapid visual rehabilitation associated with a sutureless wound and thus offers advantages over extracapsular cataract extraction.…”