Citation:Yuan J,Wang X,Yang LQ,Xing YQ,Yang YN.Assessment of visual outcomes of cataract surgery in Tujia nationality in Xianfeng County, China.Int J Ophthalmol 2015;8(2):292-298,doi:10.3980/j.issn.2222-3959.2015.02.14
Assessment of visual outcomes of cataract surgery in Tujia nationality in Xianfeng County, China
Received:March 10, 2014  Revised:July 18, 2014
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DOI:10.3980/j.issn.2222-3959.2015.02.14
Key Words:cataract surgery; manual small incision cataract surgery; visual outcome; co-morbidities; operative complications
Fund Project:SupportedbyNationalNaturalScienceFundationof China (No.81100664); Wuhan Science and TechnologyDawn Project (No.2014070404010222); Wuhan UniversityIndependent Research Project (No.2042014kf0259); OpenProject of the State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center (No.303060202400306).
              
AuthorInstitution
Jing Yuan Eye Center, Renmin Hospital of Wuhan University, Wuhan , Hubei Province, China
Xia Wang Department of Ophthalmology, Xianfeng County Renmin Hospital, Xianfeng , Hubei Province, China
Li-Qin Yang Department of Ophthalmology, Xianfeng County Renmin Hospital, Xianfeng , Hubei Province, China
Yi-Qiao Xing Eye Center, Renmin Hospital of Wuhan University, Wuhan , Hubei Province, China
Yan-Ning Yang Eye Center, Renmin Hospital of Wuhan University, Wuhan , Hubei Province, China
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Abstract:
      AIM: To evaluate the visual outcome and factors influencing visual outcome of manual small incision cataract surgery (MSICS) in the rural area in the Xianfeng County.

    METHODS: Eighty-two eyes of 82 patients who underwent cataract surgery performed by using MSICS technique were identified. Data collected included each patient’s age, gender, the level of education. Uncorrected and corrected distance visual acuity (UDVA and CDVA) at presentation and at 1, 6, 8wk postoperatively, pre-existing eye disease, operative findings and complications, the risk factors were evaluated.

    RESULTS: In 82 patients, the average age was 69.6±0.6y, illiterate were 52 (63.4%). Of 82 eyes, pseudophakia was present in 77 eyes (93.9%). At 1wk postoperatively, 47 eyes (57.3%) had the UDVA of ≥6/18, and 52 eyes (63.4%) had the CDVA of ≥6/18. At 6 to 8wk postoperatively, 50 eyes (61.0%) had UDVA of ≥6/18, and 57 eyes (69.5%) had the CDVA of ≥6/18. Postoperative visual status was significantly related to the co-morbidities, such as corneal pathology, glaucoma (P<0.001). Operative complications, such as posterior capsule opacity and cystoid macular edema were main operative cause for the poor visual outcome.

    CONCLUSION: MSICS provides a good visual recovery in our study but the vision outcome did not fulfill the standards proposed by WHO, which highlights the need for an improvement in local socioeconomic understanding, population education and surgery quality.

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