Luitel Pragya, Pandey Manish, Karn Rajiv Ranjan, Dev Mahesh Kumar, Rajbanshi Lily, Sitoula Rakshya Panta
Cornea Department, Biratnagar Eye Hospital, Biratnagar, Morang, Nepal.
Research Department, Biratnagar Eye Hospital, Biratnagar, Morang, Nepal.
JNMA J Nepal Med Assoc. 2024 Nov;62(279):739-743. doi: 10.31729/jnma.8798. Epub 2024 Nov 30.
Cataracts are the leading cause of preventable blindness worldwide. Although cataract blindness is reversible, its service coverage remains poor, particularly in rural and hilly areas of Nepal. The study aimed to evaluate visual outcomes of outreach cataract surgeries and associated intraoperative and post-operative complications.
This cross-sectional study was conducted at a district of Eastern Nepal after ethical clearance was taken from the Institutional Review Committee (Reference number: 88). Total 131 subjects had cataract surgeries at the surgical camp, and their pre-operative, one-day and one-month post-operative visual acuities were compared, and intraoperative and post-operative surgical complications were recorded. Visual acuity ≥ 6/12 was considered normal. Data was collected in excel and analyzed in SPSS.
The mean age of participants was 71.8 ± 9.51 years, with 70 (53.43%) male. A total of 156 eyes from 131 subjects underwent cataract surgeries and among them 25 (19.08%) cases underwent bilateral cataract surgeries. At the day one of surgery, visual acuity improved to normal in 137 (87.82%) of cases, while after one-month, visual acuity improved to normal in 150 (96.15%) of cases with best-corrected glasses. There were 4 (2.56%) intraoperative complications, which included surgery-induced subluxated bag, premature entry, iris trauma, and posterior capsule rent.
The visual and surgical outcomes of cataract surgeries performed at an outreach surgical camp were excellent with minimal surgical complications.
白内障是全球可预防失明的主要原因。尽管白内障致盲是可逆的，但其服务覆盖范围仍然较差，尤其是在尼泊尔的农村和山区。本研究旨在评估外展白内障手术的视觉效果以及相关的术中及术后并发症。
本横断面研究在获得机构审查委员会伦理批准（参考编号：88）后，于尼泊尔东部的一个地区进行。共有131名受试者在手术营地接受了白内障手术，比较了他们术前、术后一天和术后一个月的视力，并记录了术中及术后的手术并发症。视力≥6/12被视为正常。数据收集在Excel中，并在SPSS中进行分析。
参与者的平均年龄为71.8±9.51岁，其中男性70人（53.43%）。131名受试者的156只眼睛接受了白内障手术，其中25例（19.08%）接受了双侧白内障手术。在手术当天，137例（87.82%）患者的视力恢复正常，而在术后一个月，佩戴最佳矫正眼镜后，150例（96.15%）患者的视力恢复正常。有4例（2.56%）术中并发症，包括手术引起的晶状体囊半脱位、过早进入、虹膜损伤和后囊膜撕裂。
在外展手术营地进行的白内障手术的视觉和手术效果极佳，手术并发症极少。
