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http://hdl.handle.net/1843/57117| Type: | Artigo de Periódico |
| Title: | Population-based cataract surgery complications and its impact on visual status in the brazilian amazon region |
| Authors: | Sung e. S.watanabe Nívea n. Cavascan Galton Carvalho Vasconcelos Paulo h. a. Morales Arthur g. Fernandes Sergio Muñoz Rubens Belfort jr Solange r Salomão Adriana Berezovsky João m. Furtado Márcia Higashi Mitsuhiro Marcela c. Cypel Marcos j Cohen Jacob m. Cohen Cristina Coimbra Cunha Paula y. Sacai |
| Abstract: | PURPOSE: To investigate cataract surgery prevalence,complications, visual outcomes, and coverage in a population of older adults from the Brazilian Amazon region.DESIGN: Population-based cross-sectional study. METHODS: Individuals ‡45 years of age from urban and rural areas of Parintins City, Brazil, were identified by cluster random sampling. Participants underwent ophthalmic examination, including uncorrected visual acuity, acuity with presenting correction (APC), and best-corrected visual acuity (BCVA) from each eye. In those with previous cataract surgery, surgical technique and complications including its contribution to vision impairment were noted. The association of surgical complications and surgical coverage with sociodemographic variables was assessed by multiple logistic regression. RESULTS: A total of 2,384 persons were determined to be eligible, and 2,041 (85.6%) were examined. Overall, prevalence of cataract surgery was 8.6%, with 11.3% urban and 5.0% rural. Surgical complications were associated with males, older age, and urban residency andwere found in 60.4%, with posterior capsule opacification in 29.6% and posterior capsule rupture in 16.3%. Among the 270 eyes having cataract surgery, APC ‡20/32 was found in 44.4%, APC 20/40 to 20/63 in 20.8%, APC<20/63 to 20/200 in 14.4%, APC <20/200 to 20/400 in 2.6%, and APC<20/400 in 17.8%. Low surgical coverage was found with 57.9% of those with visual impairment due to cataract not being treated surgically.CONCLUSIONS: Although a reasonable prevalence of cataract surgery was found, a high complication rate,poor visual outcomes, and low cataract surgery coverage indicated that actions to improve quality and appropriate postsurgical management should be planned and implemented by public health authorities. |
| Subject: | Brasil Extração de Catarata |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE OFTALMOLOGIA E OTORRINOLARINGOLOGIA |
| Rights: | Acesso Restrito |
| metadata.dc.identifier.doi: | https://doi.org/10.1016/j.ajo.2019.07.017 |
| URI: | http://hdl.handle.net/1843/57117 |
| Issue Date: | 2019 |
| metadata.dc.url.externa: | https://www.sciencedirect.com/science/article/pii/S0002939419303782?via%3Dihub |
| metadata.dc.relation.ispartof: | American Journal of Ophthalmology |
| Appears in Collections: | Artigo de Periódico |
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