TY - JOUR
T1 - Visual outcomes after cataract surgery among the elderly residents in the á € homes for the aged' in South India
T2 - The Hyderabad Ocular Morbidity in Elderly Study
AU - Marmamula, Srinivas
AU - Barrenakala, Navya Rekha
AU - Challa, Rajesh
AU - Kumbham, Thirupathi Reddy
AU - Modepalli, Satya Brahmanandam
AU - Yellapragada, Ratnakar
AU - Bhakki, Madhuri
AU - Reddy, Jagadesh C.
AU - Friedman, David S.
AU - Khanna, Rohit C.
N1 - Funding Information:
Funding This work was supported by Wellcome Trust/DBT India Alliance Fellowship (IA/CPHE/14/1/501506) awarded to Dr Srinivas Marmamula and Hyderabad Eye Research Foundation (HERF), India.
Publisher Copyright:
© 2021 BMJ Publishing Group. All rights reserved.
PY - 2021/8/1
Y1 - 2021/8/1
N2 - Background/Aim To report visual outcomes and factors associated with good visual outcomes after cataract surgery among the elderly residents in á € homes for the aged' in Hyderabad, India. Methods Individuals aged ≥60 years were recruited from 41 á € 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. Results 1215 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. Conclusions One-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.
AB - Background/Aim To report visual outcomes and factors associated with good visual outcomes after cataract surgery among the elderly residents in á € homes for the aged' in Hyderabad, India. Methods Individuals aged ≥60 years were recruited from 41 á € 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. Results 1215 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. Conclusions One-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.
KW - Epidemiology
KW - Public health
KW - Vision
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U2 - 10.1136/bjophthalmol-2020-317167
DO - 10.1136/bjophthalmol-2020-317167
M3 - Article
C2 - 32855164
AN - SCOPUS:85093085611
SN - 0007-1161
VL - 105
SP - 1087
EP - 1093
JO - British Journal of Ophthalmology
JF - British Journal of Ophthalmology
IS - 8
ER -