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https://hdl.handle.net/2440/58278
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Type: | Journal article |
Title: | Cataract in central Sri Lanka: cataract surgical coverage and self-reported barriers to cataract surgery |
Author: | Athanasiov, P. Edussuriya, K. Senaratne, T. Sennanayake, S. Selva-Nayagam, D. Casson, R. |
Citation: | Clinical and Experimental Ophthalmology, 2009; 37(8):780-784 |
Publisher: | Blackwell Publishing Asia |
Issue Date: | 2009 |
ISSN: | 1442-6404 1442-9071 |
Statement of Responsibility: | Paul A Athanasiov, Kapila Edussuriya, Tissa Senaratne, Saman Sennanayake, Dinesh Selva and Robert J Casson |
Abstract: | <h4>Purpose</h4>To determine the cataract surgical coverage and investigate the barriers to cataract surgery in the Kandy District of central Sri Lanka.<h4>Methods</h4>A population-based, cross-sectional ophthalmic survey of the inhabitants of rural villages in central Sri Lanka was conducted; there were 1721 eligible subjects and 1375 participated (79.9% participation rate). The recorded data included age, gender, education, district, corrected visual acuity, dilated slit-lamp examination and stereoscopic fundus examination. Lens opacity was graded using the Lens Opacities Classification System III. Participants with cataract-induced visual impairment (acuity <6/18 in the better eye) were also invited to respond to a verbal questionnaire about barriers to cataract surgery.<h4>Results</h4>Cataract surgical coverage per individual for visual acuity cut-offs of <6/18, <6/60 and <3/60 was 41.9%, 76.8% and 82.7%, respectively; and per eye was 34.0%, 60.3% and 65.2%, respectively. Cataract surgical coverage was higher for men than women, and two-thirds refused referral for surgery, for the following reasons: no desire to improve vision, fear of surgery and lack of awareness were the most frequently reported barriers.<h4>Summary</h4>Cataract surgical coverage in central Sri Lanka is higher than that in neighbouring developing regions. Surgical uptake may be improved through better community education. |
Keywords: | barrier blindness cataract surgical coverage epidemiology Sri Lanka |
Rights: | © 2009 The Authors Journal compilation © 2009 Royal Australian and New Zealand College of Ophthalmologists |
DOI: | 10.1111/j.1442-9071.2009.02152.x |
Published version: | http://dx.doi.org/10.1111/j.1442-9071.2009.02152.x |
Appears in Collections: | Aurora harvest Opthalmology & Visual Sciences publications |
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