Poor postsurgical visual acuity in low-, middle-income patients with cataracts
Postsurgical visual acuity in patients with cataracts showed significant inequalities in low-income and middle-income countries, according to a study published in British Journal of Ophthalmology.
“The reported visual outcomes were less ideal based on the WHO recommendation criteria, especially in [low-income and middle-income countries (LMICs)],” Xiaotong Han, MD., PhD, from the Zhongshan Ophthalmic Center at Sun Yat-Sen University. “Significant inequalities in cataract surgery quality were observed within and among different countries and regions, which call for regional and global actions to tackle this problem.”
Han and colleagues reviewed 31 cross-sectional studies, 26 conducted in LMICs and five conducted in high-income countries (HICs) and observed the significant differences in postoperative visual acuity (VA).
Among different LMICs, the proportion of patients with postsurgical VA 0.32 were below 70% and varied significantly (Nigeria, 29.9%; Suriname, 80.5%), even within the same country (India, 37%-74.6%). Among HICs, the proportion of patients with postsurgical VA 0.32 were above 70.
“With the continuous global effort leading to increasing cataract surgical volume in recent decades, equal attention must be paid to ensure the cataract surgical quality and adequate postoperative care,” the authors concluded.