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Cataract surgical outcomes, visual function and quality of life in four rural districts in Vietnam
Leonard Yuen1, Nhu Hon Do, Quoc Luong Vu
1Singapore National Eye Centre, Singapore.
Background:
To evaluate cataract surgical outcomes in four rural districts of Ha Tinh Province, Vietnam.
Design:
Cross-sectional study.
Participants:
Post-cataract surgery patients sampled randomly from facilities in four rural districts of Ha Tinh Province >3 months after surgery.
Main Outcome Measures:
Postoperative visual acuity (VA), visual function and quality of life.
Results:
Among 412 patients, the mean age was 74.5 ± 9.4 years, 67% (276) were female, and 377 (91.5%) received intraocular lenses (IOL). Nearly two-thirds of patients had no postoperative visits after discharge. Postoperatively, more than 40% of eyes had presenting VA <6/18, while 20% remained <6/60. The mean self-reported visual function and quality of life for all patients were 68.7 ± 23.8 and 73.8 ± 21.6, respectively. Most patients (89.5%) were satisfied with surgery and the majority (94.4%) would recommend surgery to others. One-third of patients paid ≥$US50 for surgery. In multiple regression modelling, older age (P < 0.01), intraoperative complications (P < 0.01) and failure to receive an IOL (P < 0.01) were associated with postoperative VA <6/60.
Conclusion:
Satisfaction with surgery was high, and many patients were willing to pay for their operations. Poor visual outcomes were common; however, and better surgical training is needed to reduce complications and their impact on visual outcomes. More intensive postoperative follow-up may also be beneficial.