Anand R, Gupta A, Ram J, Singh U, Kumar R
Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Indian J Ophthalmol. 2000 Jun;48(2):153-8.
In a cluster sample survey in rural areas of Punjab visual outcome after cataract surgery was assessed. Three hundred patients (428 cataract operated eyes) were included in the study from 24 sampled villages. The mean age at cataract extraction was 61.70 +/- 9.82 years. The average interval since the cataract surgery was 7.05 +/- 5.86 years (range 0.11-32 years). Of the 428 operated eyes, 72 (16.82%) were blind (VA < 3/60), 162 (37.85%) had low visual acuity (VA 3/60-< 6/18) and 194 (45.33%) eyes gained good visual acuity (VA > or = 6/18). Cataract surgery related complications were the principal causes leading to blindness in 50 of 72 eyes; these included corneal oedema, (17/72;23.3%), retinal detachment (14/72;19.4%), and aphakic glaucoma (13/72;18.05%). This study emphasizes the need to improve the qualitative aspect of cataract surgery including long-term follow up in rural India.
在旁遮普农村地区进行的一项整群抽样调查中，对白内障手术后的视力结果进行了评估。从24个抽样村庄纳入了300名患者（428只接受白内障手术的眼睛）进行研究。白内障摘除时的平均年龄为61.70±9.82岁。白内障手术后的平均间隔时间为7.05±5.86年（范围0.11 - 32年）。在428只接受手术的眼睛中，72只（16.82%）失明（视力<3/60），162只（37.85%）视力低下（视力3/60 - <6/18），194只（45.33%）眼睛获得了良好视力（视力≥6/18）。白内障手术相关并发症是72只眼中50只导致失明的主要原因；这些并发症包括角膜水肿（17/72；23.3%）、视网膜脱离（14/72；19.4%）和无晶状体性青光眼（13/72；18.05%）。本研究强调在印度农村地区需要改善白内障手术的质量方面，包括长期随访。
