Title: AN OBSERVATIONAL STUDY REGARDING THE IMPROVEMENT OF VISION AFTER EXTRACAPSULAR CATARACT SURGERY
1AN OBSERVATIONAL STUDY REGARDING THE IMPROVEMENT
OF VISION AFTER EXTRACAPSULAR CATARACT SURGERY
- BY
- SMITA NAIR(46)
- ARPIT PANCHAL(49)
- MAYUR PANCHAL(50)
- GUIDED BY
- Dr. TAPASVI PUWAR
2INTRODUCTION
- National Programme for Control of Blindness Eye
Awareness - "One of the basic Human Right is to see and ,
therefore, it is to be ensured that no citizen
goes blind needlessly or being blind does not
remain so, if, by reasonable deployment of skill
and resources, his eye sight could be prevented
from deteriorating and if already lost could be
restored - Resolution of the Central Council of Health
Family Welfare at its meeting in the year 1975.
3Magnitude of Problem
- WORLD
- According to the 1999-2000 statistics ---- 180
million people are visually impaired out of which -
45 million are blind - Also 80 of it is falls in the preventable
category. - The current prevalence is 0.2 to 1.1
-
- INDIA
- The current prevalence rate is 1.1
- Cataract is still the leading cause of blindness
in India, contributing to about 50 -90 of the
cases. - The major age group affected are between 45 to 50
yrs.
4RESEARCH QUESTION
- To survey the post operative improvement of
vision in 100 patients suffering from cataract
and who underwent extracapsular cataract
extraction and whether there are any
complications or not.
5REVIEW OF LITERATURE
- Blindness
- Visual Acuity of less than 3/60 (snellen) or its
equivalent, i.e inability to count fingers at a
distance of 3 mts., is termed as blindness. -
- CATARACT
- Definition Any opacity of crystalline lens of
eye leading to loss of details and clarity. -
6- Barriers To Surgery
- Ignorance of facilities
- Superstitions
- Services too far
- Unaffordable
- No time
- No one to accompany
- Old Age , so no need felt
- Other eye in good condition
- Fear
- Contraindication
- Waiting for the cataract to mature
7METHODOLOGY
- Type Of Study Observational Study
- Procedure
- After getting permission from the
respective HOD of the concerned depts., we went
to the ophthalmology OPD and collected the data
from 100 postoperative patients who underwent
cataract operation by the extracapsular cataract
extraction technique, at Nagri Eye Hospital. - We collected their personal data and their vision
before and after the surgery.Also we asked about
any complications suffered by them. - After collecting the data we anlaysed it and
found out the results.
8TIME LINE CHART
Time Period (weekly)
9ANALYSIS
TABLE 1 AGE WISE DISTRIBUTION OF STUDY POPULATION
The mean age is 59.99 yrs the age group 60 -69
yrs has the highest cases.
10TABLE 2 SEX WISE DISTRIBUTION OF STUDY POPULATION
TABLE 3 ADDICTION WISE DISTRIBUTION OF STUDY
POPULATION
No. of persons
11TABLE 4EDUCATION WISE DISTRIBUTION OF STUDY
POPULATION
0 Illiterate 3 11th to 12th standard 1
1st to 7th Standard 4 Graduation 2 8th to
10th Standard 5 Post Graduation
12TABLE 5 DURATION OF DIAGNOSIS AND OPERATION WISE
DISTRIBUTION OF STUDY POPULATION
The mean duration that has elapsed between
diagnosis and operation is 2.2 months.
13TABLE 6SUBJECTIVE VISION IMPROVEMENT WISE
DISTRIBUTION OF STUDY POPULATION
14TABLE 7 VISION BEFORE AND AFTER CATARACT SURGERY
This table shows the vision before and after
the cataract surgery. A 6/6 E 6/24 B
6/9 F 6/36 C 6/12 G 6/60 D
6/18 This classification is according to the
Snellens chart for distant vision.
15Applying the Z TEST to check the significance of
the vision improvement After the cataract surgery.
Z value 18.09 Std error 0.042 . 0.042 x 1.96
0.0823 which is less than z value. So the test
is significant and hence it shows that people
undergoing a cataract Surgery will have an
improvement of vision.
16TABLE 8 COMPLICATION WISE DISTRIBUTION OF STUDY
POPULATION
17CROSS TABLES
- TABLE 1 AGE V/S
- COMPLICATIONS
Applying the CHI SQUARE TEST to check the
significance of age and complication Chi square
value 0.79 which is less than the table
value. So the test is not significant. That means
statistically there is no high risk age group for
postoperative complications.
18TABLE 2EDUCATION V/S COMPLICATIONS
Applying the CHI SQUARE TEST to check the
signifance of this cause and effect relationship
19Applying the CHI SQAURE TEST to check the
significance of this cause and effect
relationship
The chi square value is 4.04 which is more than
the table value. This shows that the test is
significant. This shows that illiterate people
suffer from more complications most probably due
to unhygienic practice and improper care after
surgery.
20SUMMARY AND CONCLUSIONS
- Cataract has constantly been one of the leading
causes of blindness in India. However recently
there has been a decline in the number of people
suffering from blindness due to cataract. - This is due to the better facilities of surgery
available to the common man.Also many programmes
regarding the prevention , control and treatment
modalities have been undertaken by the Govt.Of
India. - NPCB Launched in 1976 it has been striving to
decrease the prevalence of blindness in India. - VISION 2020 RIGHT TO SIGHT
- Goal -- Elimination of avoidable blindness by
the year 2020. - Under this program cataract is one of the
target disease including other 4 like DR,
Glaucoma , Refractive Errors, and Childhood
Blindness. - According to the survey we conducted and based on
the cross examination we carried out, we came to
the conclusion that the only modifiable factor
associated with the prevention of complication is
EDUCATION. - The maximum number of complications occurring are
those among uneducated people, either due to
unawareness or lack of carefulness. - If we educate the people about the pros and cons
of cataract we can encourage them to come in for
a timely surgery and better results of vision and
probably very minimal complications.
21- Also we need to educate them to remove the
barriers to surgery, as seen above. - The other less modifiable factor is the duration
between the diagnosis and operation which is
largely dependent on again education. Although
many people have a delay due to medical
indications but majority of them delay the
surgery due to unawareness and superstitions. - But under the study we carried out we have
thankfully found out that majority of the
patients have operated within the duration of 1
to 2 months.