Outcomes of and barriers to cataract surgery in Sao Paulo State, Brazil
| Autor: | Silvana Artioli Schellini, Marcela Dadamos Ferro, Luisa Fioravanti Schaal, Rajiv Khandekar, Antonio Carlos Lottelli Rodrigues, Gabriel de Almeida Ferreira |
|---|---|
| Přispěvatelé: | Universidade Estadual Paulista (Unesp) |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Visual acuity Referral genetic structures medicine.medical_treatment Visual impairment Psychological intervention Visual Acuity Intraocular lens Cataract Extraction Blindness Cataract 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Developing Countries Aged business.industry Incidence Health services accessibility General Medicine Cataract surgery Middle Aged medicine.disease eye diseases Ophthalmology Cross-Sectional Studies Treatment Outcome lcsh:RE1-994 030221 ophthalmology & optometry Female medicine.symptom business Brazil Visually Impaired Persons Follow-Up Studies Research Article |
| Zdroj: | Web of Science Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP BMC Ophthalmology BMC Ophthalmology, Vol 17, Iss 1, Pp 1-7 (2017) |
| Popis: | Made available in DSpace on 2018-11-29T05:07:17Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-12-22 Background: Cataract is the leading cause of blindness in developing countries and identification of the barriers to accessing treatment is essential for developing appropriate public healthcare interventions. To evaluate the barriers to cataract surgery after diagnosis and assess the postoperative outcomes in Sao Paolo State, Brazil. Methods: This prospective study evaluated cataract patients from 13 counties in Sao Paulo State in 2014. Cataract was diagnosed in the community by a mobile ophthalmic unit and patients were referred to a hospital for management. Gender, age, distance to the hospital and local municipal health structure were evaluated as possible barriers. Data were analyzed for postoperative outcomes and the impact on blindness and visual impairment. Results: Six hundred patients were diagnosed with cataract with a mean age of 68.8 +/- 10.3 years and 374 (62.3%) were females. Two hundred and fifty-four (42.3%) patients presented to the referral hospital. One hundred fortyfour (56.7%) underwent surgery, 56 (22.0%) decided not to undergo surgery, 40 (15.7%) required only YAG-Laser and 14 (5.5%) required a spectacle prescription only. Visual acuity increased statistically significantly from 1.07 +/- 0. 73 logMAR at presentation to 0.25 +/- 0.41 logMAR at the final visit after intraocular lens implantation (p=0.000). There was a statistically significantly decrease from 17 (11.8%) blind patients and 55 (38.2%) visually impaired patients at presentation to 2 (1.4%) and 5 (3.5%) patients respectively after treatment (p=0.000). Conclusion: Less than half of the individuals with cataract presented to the hospital for surgery. Among the patients who underwent treatment, there was an overall decrease in the number of blind individuals and visually impaired individuals. The barriers to cataract surgery were older age, greater distance to the hospital, municipalities with fewer inhabitants and less ophthalmic services. Univ Estadual Paulista, Fac Med, Campus Botucatu, Botucatu, SP, Brazil Univ Estadual Paulista, Fac Med, Campus Botucatu, Botucatu, SP, Brazil |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|