EVALUATION OF VISUAL OUTCOME OF CATARACT SURGERY IN RURAL EYE-CAMPS IN THE STATE OF MAHARASHTRA

Abstract

Aim: The present study was conducted to evaluate patients’ satisfaction and success of cataract surgery.

Methods: This population based retrospective study included 1000 patients .Out of which 500 were operated in surgical camp and remaining 500 were operated in “Pdm. Dr. D. Y. Patil Medical College Hospital and Research Centre, Pimpri, Pune in institution setup from July to December 2013.The study was conducted at a number of camps held in peripheral north Maharashtra .Evaluation of visual acuity and patients satisfaction with scheduled porforma was done. Statistical analysis was performed with the help of cataract monitoring outcome software developed by International Centre for Eye Health, London School of Hygiene and Tropical Medicinefor evaluation of genderdifference, visual acuity, complications and patients satisfaction.

Result: In camp, 71.60% female and 28.40% male patients operated. And in base hospital, 58.40% male and 41.60% female were operated..Post operative.Visual acuity of 6/6 in base hospital was 90.4% and in camp was 69.2%. Number of visits in base hospital was 81.6% and in camp was 43% due to lack of post operative follow-ups cause of absence of transportation coupled with socio-economic background..Thepost operativecomplication rate and patients satisfaction in base hospital was 9.6% and 83% respectively and .In camp was 30% and58.6 % respectively.

Conclusion: Camp services should be at same location of base hospital with good transportation that helps to make doctor- patient bonding and improve visual outcome. Involvement of the local community leaders may provide an improved alternative.