DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20205688

The impact of cataract surgery upon visual acuity and quality of life in patients with cataract in Tripura

Monali Acharya, Subrata Baidya, Rituparna Das, Phani Sarkar, Himadri Choudhury

Abstract


Background: The major cause of blindness in India is cataract. Blindness leads to poverty due to reduced productive activity and this leads to reduced quality of life. This study was aimed at evaluating the visual acuity (VA) change pre and post cataract surgery, the post-surgical quality of life (QOL) outcomes and level of satisfaction estimation.

Methods: This was a cross sectional, hospital based study carried out in a tertiary care centre in Tripura. It included 200 patients over a period of 1.5 years to compare the VA, QOL, psychosocial status and satisfaction level pre and post cataract surgery. Indian vision function questionnaire 33 (INDVFQ33) was used to assess QOL.

Results: Out of 200 patients, in 53% preoperative VA ranged from >20/400 - <20/200 while in 5% patients it was only perception of light. Postoperatively 80% of the patient achieved best corrected VA (BCVA) of 20/30 or better, 18% patient attained BCVA ranging from 20/40 to 20/60. Only 2% had a BCVA of 20/60 or worst.  QOL parameters like mean pre and post -operative general function score, psychosocial scale and visual function scale showed improvement following cataract surgery. 69% of the patients were satisfied with the cataract surgery, whereas 31% were not completely satisfied.

Conclusions: The study revealed that there was a marked improvement in VA post cataract surgery and it also influenced the QOL in all scales.


Keywords


Cataract, Quality of life, Visual function, Satisfaction

Full Text:

PDF

References


Mobarki YM, Moafa M, Faqihi MY, Adawi AM, Mohanna AJ, Darraj A. The effect of cataract surgery on patients’ quality of life in Jazan, Saudi Arabia. IJMDC. 2019;3(1):36-42.

Aarthi R, Roy G, Kar SS, Srinivasan R. Prevalence of cataract among adults above 50 years in a rural community of Villupuram, Tamilnadu. Int J Adv Med Health Res. 2015;2(1):50-4.

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:e3570.

Menezes C, Vilaça KHC, Menezes RL. Falls and quality of life of people with cataracts. Rev Bras Oftalmol. 2016;75(1):40-4.

Desai P, Reidy A, Minassian DC, Vafidis G, Bolger J. Gains from cataract surgery: Visual function and quality of life. Br J Ophthalmol. 1996;80:868-73.

Zhao J, Jia L, Sui R. Prevalence of blindness and cataract surgery in Shunyi County, China. Am J Ophthalmol. 1998;126(4):506-14.

Li Z, Cui H, Liu P, Zhang L, Yang H, Zhang L. Prevalence and causes of blindness and visual impairment among the elderly in rural southern Harbin, China. Ophthalmic Epidemiol. 2008;15(2):334-8.

Zhao J, Sui R, Jia L, Fletcher AE, Ellwein LB. Visual acuity and quality of life outcomes in patients with cataract in Shunyi County, China. Am J Ophthalmol. 1998;126(4):515-23.

Sharma D, Pattanaik S, Kuppusamy K, Bhoorsamy A, Panigrahi OP. Impact of cataract surgery on quality of life in people aged 50 years and above in a tertiary care hospital in Odissa, East India. Nat J Comm Med. 2015;6(1):41-4.

Domple VK, Gaikwad AV, Khadilkar HA, Doibale MK, Kulkarni AP. A study on visual outcomes after cataract surgery with intraocular lens implants at the rural health training center, Paithan, Maharashtra. Indian J Public Health. 2011;55:22-4.

Harvey AS, Taylor ME, Grosh M, Glewwe P. Designing Household Survey Questionnaires for Developing Countries. Lessons From 15 Years of the Living Standards Measurement Study. Washington: The World Bank. 2000;249-75.

Conner-Spady BL, Sanmugasunderam S, Courtright P, McGurran JJ, Noseworthy TW. Steering Committee of the Western Canada Waiting List Project. Determinants of patient satisfaction with cataract surgery and length of time on the waiting list. Br J Ophthalmol. 2004;88:1305-9.

Lewallen S, Mousa A, Bassett K, Courtright P. Cataract surgical coverage remains lower in women. Br J Ophthalmol. 2009;93(3):295-8.

Lau J, Michon JJ, Chan WS, Ellwein LB. Visual acquity and quality of life outcomes in cataract surgery patients in Hong Kong. Br J Ophthal. 2002;86;12-7.

Saw SM, Tseng P, Chain WK, Chan T, Guanong S, Tan D. Visual function and outcome after cataract surgery in a Singapore population. J Cataract Refract Surg. 2002;28:445-53.

Gurung R, Shrestha MK, Müller A, Ruit S. Preoperative visual acuity of people undergoing cataract surgery in rural and urban Nepal. Clin Experiment Ophthalmol. 2011;39:501-5.

Nirmalan PK, Tielsch JM, Ka J, Thulasiraj RD, Krishnadas R, Ramakrishnan R, et al. Relationship between vision impairment and eye disease to vision specific quality of life and function in rural India: The Aravind Comprehensive Eye Survey. Invest Ophthalmol Vis Sci. 2005;46:2308-12.

Lane SD, Mikhail BI, Reizian A, Courtright P, Marx R, Dawson CR. Sociocultural aspects of blindness in an Egyptian delta hamlet: visual impairment vs. Visual disability. Med Anthropol. 1993;15(3):245-60.

Tran HM, Mahdi AM, Sivasubramaniam S, Gudlavalleti MV, Gilbert CE, Shah SP, et al. Quality of life and visual function in Nigeria: Findings from the National Survey of Blindness and Visual Impairment. Br J Ophthalmol. 2011;95:1646-51.

Fagerström R. Correlation between depression and vision in aged patients before and after cataract operations. Psychol Rep. 1994;75(1):115-25.

Palagyi A, Rogers K, Meuleners L, McCluskey P, White A, Ng JQ, Morlet N, Keay L. Depressive symptoms in older adults awaiting cataract surgery. Clin Exp Ophthalmol. 2016;44(9):789-96.

Walker JG, Anstey KJ, Hennessy MP, Lord SR, von Sanden C. The impact of cataract surgery on visual functioning, vision-related disability and psychological distress: a randomized controlled trial. Clin Exp Ophthalmol. 2006;34(8):734-42.

Bandhu SD, Vabale YG, Sambarey PP, Walke AB, Raje S. Impact of cataract surgery on the quality of life of rural patients in India. J Clin Ophthalmol Res. 2016;4(2):75-80.

Essue BM, Li Q, Hackett ML, Keay L, Iezzi B, Tran KD, Tan Phuc H, Jan S, VISIONARY Study Team. A multicenter prospective cohort study of quality of life and economic outcomes after cataract surgery in Vietnam: the VISIONARY study. Ophthalmology. 2014;121(11):2138-46.

Nirmalan PK, Katz J, Robin AL, Krishnadas R, Ramakrishnan R, et al. Utilization of eye care services in rural south India: the Aravind Comprehensive Eye Survey. British J Ophthalmol. 2004;88:1237-41.

Kessy JP, Lewallen S. Poverty as a barrier to accessing cataract surgery: a study from Tanzania. Br J Ophthalmol. 2007;91:1114-6.

Finger RP, Ali M, Earnest J, Nirmalan PK. Cataract surgery in Andhra Pradesh state, India: an investigation into uptake following outreach screening camps. Ophthalmic Epidemiol. 2007;14:327-32.

Dandona L, Dandona R, Srinivas M, Giridhar P, Vilas K, et al. Blindness in the Indian state of Andhra Pradesh. Investig Ophthalmol Visual Sci. 2001;42:908-16.

Finger RP, Kupitz DG, Holz FG, Chandrasekhar S, Balasubramaniam B, Ramani RV, Gilbert CE. Regular provision of outreach increases acceptance of cataract surgery in South India. Trop Med Int Health. 2011;16(10):1268-75.

Janz NK, Wren PA, Lichter PR, Musch DC, Gillespie BW, Guire KE. Quality of life in newly diagnosed glaucoma patients: The Collaborative Initial Glaucoma Treatment Study. Ophthalmology. 2001;108:887-98.