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Impact of visual rehabilitation on quality of life in patients after cataract surgery

Poster Details

First Author: S.Kamble INDIA

Co Author(s):                        

Abstract Details

Purpose:

To assess the impact of visual rehabilitation in government hospital patients, on quality of daily routine life, after cataract surgery.

Setting:

Government Medical College and New Civil Hospital, Surat, Gujarat (INDIA)

Methods:

500 cataract patients attending the outpatient Department of Ophthalmology at New Civil Hospital, Surat between January 2014 to November 2015 were included in the study. Cataract extraction with PC IOL implantation was performed using small incision cataract surgery (SICS) and phacoemulsification method. Preoperative visual acuity was divided into grades for the purpose of statistical analysis. Pre and post operative quality of life was assessed by a pretested & validated questionnaire analyzing social, mental and visual functions.

Results:

Out of total 500 patients, 499(99%) has post-operative best corrected visual acuity 6/12 or better which was not related to type of surgery performed. Preoperative social functions were 15.76 ± 1.91, mental functions were 14.97 ± 1.72 and visual functions were 31.34 ± 2.5. Post operatively social functions were 7.10 ± 1.22, mental functions were 7.60 ± 0.90 and visual function were 12.14 ± 1.68. This is showing significant improvement in quality of life post operatively, in each age-group (p<0.0001).

Conclusions:

Patients has improvement in different aspects of QOL like activities of daily living, social aspects and mental perspective about life indicating that the cataract surgery has improved patient’s QO, greater ease and likelihood of engaging in social interactions.. Patients undergoing phacoemulsification cataract surgery end up in minimal induced postoperative spherical error in refraction & ultimately experienced the best postoperative recovery in terms of reassuming their daily routine life and minimum postoperative ambulatory period, as compared to patients undergoing SICS. This experience was felt best in patients undergoing surgery in topical anesthesia as compared to the local anesthesia.

Financial Disclosure:

None

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