Cataract surgery barriers, cataract surgical coverage and outcome among rural population of Dhule district in Maharashtra

Sarika P. Patil, Muralidhar P. Tambe, Mukram G. G. Khan, Prashant J. Patil, Mukesh S. Bawa, Vikrant S. Pagar


Background: In India the coverage and outcome of cataract management are through camps and hospital undertaking rural cataract surgical services. There are varied outcomes of cataract surgery in population based studies within our country while cataract surgical outcomes have inbuilt dependency on various factors. National program for control of blindness and visual impairment aims in improvement of vision of the cataract patients. Thus evaluating cataract outcome would help top strengthen the national program.

Methods: The study was part of population based blindness survey carried out among 40 years and above rural population in Dhule district of Maharashtra during 2019. In the survey 2370 villagers, 40 years and above were surveyed for blindness prevalence by 30 Cluster sampling technique having 79 peoples from each cluster. Collection of baseline data with information of eye care services and ophthalmic examination was done.

Results: Prevalence of cataract in 40 year and above population in study was 20.78%. In present study predominant barrier in cataract operation in 71.1% participants for not having consultation was belief it to be destiny or God’s will.  20.3% cataract patients with visual impairment had visual acuity of 6/60 and 18.4% had less than 3/60 visual acuity. Maximum participants had cataract operated in government hospital 61.7%. In the study cataract surgical coverage was 72.7% by eyes and 81.7% by person for visual acuity <3/60.

Conclusions: Efforts to increase cataract surgical coverage would help to reduce the prevalence of visual impairment due to cataract.


Blindness, Cataract, National program, Visual impairment

Full Text:



Lahane TP. Tackling the cataract backlog- an initiative by the Maharashtra State, India. Indian J Ophthalmol. 2018;66:1391-3.

Murthy GVS, Gupta SK, John N, Vashist P. Current status of cataract blindness and Vision 2020: The right to sight initiative in India. Indian J Ophthalmol. 2008;56:489-94.

Lindfield R, Vishwanath K, Ngounou F, Khanna RC. The challenges in improving outcome of cataract surgery in low and middle income countries. Indian J Ophthalmol. 2012;60:464-9.

Murthy GV, Vashist P, John N, Pokharel G, Ellwein LB. Prevalence and vision-related outcomes of cataract surgery in Gujarat, India. Ophthal Epidemiol. 2009;16(6):400-9.

Vijaya L, George R, Rashima A, Raju P, Arvind H, Baskaran M, et al. Outcomes of cataract surgery in a rural and urban south Indian population. Indian J Ophthalmol. 2010;58:223-8.

Marmamula S, Khanna RC, Shekhar K, Rao GN. Outcomes of cataract surgery in urban and rural population in the south Indian State of Andhra Pradesh: Rapid Assessment of Visual Impairment (RAVI) Project. PLoS One. 2016;11(12):e0167708.

Kapoor H, Chatterjee A, Daniel R, Foster A. Evaluation of visual outcome of cataract surgery in an Indian eye camp. Br J Ophthalmol. 1999;83(3):343-6.

Bharath B, Krishnaiah S, Imtiaz A, Ramani RV. Prevalence and determinants of cataract surgical coverage in India: findings from a population-based study. Int J Community Med Public Health. 2017;4:320-7.

Dhaliwal U, Gupta SK. Barriers to the uptake of cataract surgery in patients presenting to a hospital. Indian J Ophthalmol. 2007;55:133-6.

Vaidyanathan K, Limburg H, Foster A, Pandey RM. Changing trends in barriers to cataract surgery in India. Bull World Health Organ. 1999;77(2):104-9.

Amritanand A, Jasper S, Paul P, Kuriakose T. Facilitating factors in overcoming barriers to cataract surgical services among the bilaterally cataract blind in Southern India: a cross-sectional study. Indian J Ophthalmol. 2018;66(7):963-8.

Khanna RC, Pallerla SR, Eeda SS, Gudapati BK, Cassard SD, Rani PK et al. Population based outcomes of cataract surgery in three tribal areas of Andhra Pradesh, India: Risk factors for poor outcomes. PLoS One. 2012;7:e35701.

Murthy GV, Vashist P, John N, Pokharel G, Ellwein LB. Prevalence and causes of visual impairment and blindness in older adults in an area of India with a high cataract surgical rate. Ophthal Epidemiol. 2010;17:185-95.