indicators of cataract surgery in varamin district

نویسندگان

مرضیه کتیبه

m katibeh ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranتهران- پاسداران- بوستان نهم- خیابان پایدارفرد (خیابان امیر ابراهیمی)- پلاک 23- مرکز تحقیقات چشم حسین ضیایی

h ziaei ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranتهران- پاسداران- بوستان نهم- خیابان پایدارفرد (خیابان امیر ابراهیمی)- پلاک 23- مرکز تحقیقات چشم ژاله رجوی

zh rajavi ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranتهران- پاسداران- بوستان نهم- خیابان پایدارفرد (خیابان امیر ابراهیمی)- پلاک 23- مرکز تحقیقات چشم سارا حسینی

s hosseini ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranتهران- پاسداران- بوستان نهم- خیابان پایدارفرد (خیابان امیر ابراهیمی)- پلاک 23- مرکز تحقیقات چشم بهاره خیری

چکیده

purpose: to identify the profile of cataract surgery in an iranian population. methods: this population-based survey was conducted on adults aged ≥50 years and over in 2009 at varamin district. cataract surgical coverage (csc) was defined as the proportion of operable cataractous eyes (best-corrected visual acuity [bcva] < 6/18 due to cataracts) that had been operated. poor outcome was defined as bcva < 6/60 in the operated eye. results: from 3,000 eligible subjects, 2,819 (94%) participated in the study. among 5,836 examined eyes, 526 eyes (9.0%) had history of cataract surgery including 5.8% first eyes and 3.16% second eyes. intraocular lenses were used in 92.8% of surgeries. good outcomes was associated with using intraocular lenses (iols) during cataract surgery (82.0% vs. 31.6%, p<0.001). csc was 66.4% and poor outcome rate was 13.2%. in non-operated subjects who needed cataract surgery (bcva<6/60 or 1.0 logmar), the main barrier was unawareness of treatment which accounted for 44.3% of reasons. conclusion: the coverage and outcome of cataract surgery in operable eyes should be improved. overall, cataract services in the studied population were acceptable, although the need for improving public awareness and health services is still felt.

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جلد ۱۸، شماره ۳، صفحات ۲۹۵-۳۰۵

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