Cataract surgical outcomes, visual function and quality of life in four rural districts in Vietnam.

摘要

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 >/=Dollars 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.