1. PATIENTS’ CHARACTERISTICS Table 1.1: Age distributions

2. Figure 1.1: Age Distributions
percent 40 30 % 20 10
<1
15-24
35-44
55-64
75-84
1-14
25-34
45-54
65-74
>=85
Age group, years

3. Table 1.2: Gender distributions

4. Table 1.3: Number (%) of surgery done by month

5. Figure 1.3: Number (%) of surgery
1500
1000
No. of surgeries
500
January
March
May
July
September
November
February
April
June
August
October
December
Month

6. Table 1.4: Number of surgery done by centre

7. Figure 1.4: Number of surgery done by centre
1500
1000
No. of surgeries
500 A C E G I K M O Q S U W Y B D F H J L N P R T V X
Centre

8. Table 1.5: Distribution of care setting by centre

9. Figure 1.5: Distribution of day care and in patient by centre
Average day care (all patients)=38%
Day care
In-patient
100 % 50 38 C M Q I T P K X S F J H W Y A U D V N B L R G E
Centre

10. Table 1.6: Number of patients with first eye and second eye surgery

11. Table 1.7: Number of patients with ocular co-morbidity

12. Table 1.8: Number of patients with systemic co-morbidity

13. Table 1.9: Pre-operative visual acuity measurement

14. Figure 1.9: Pre-operative visual acuity measurement
Unaided
Refracted 30 20 % 10
6/5
6/9
6/18
6/36
5/60
3/60
1/60 HM
NPL
6/6
6/12
6/24
6/60
4/60
2/60 CF PL
Visual acuity

15. Table 1.10: Causes of cataract

16. 2. CATARACT SURGICAL PRACTICES Table 2
2. CATARACT SURGICAL PRACTICES   Table 2.1: Distribution of types of cataract surgery by centre

17. Figure 2.1: Distribution of types of cataract surgery by centre
ECCE
Lens aspirations PE
PE to ECCE
ICCE
Secondary IOL Implant
100 % 50 G H N I J Y P B W U C Q K S R E F T A V L X D M
Centre

18. Table 2.2: Distribution of combined surgery by centre

19. Table 2.3: Proportion of nature of cataract surgery

20. Table 2.4: Type of anaesthesia

21. Figure 2.4: Type of anaesthesia
Average of local anesthesia =94% %
Centre 94 50
100
Local
General F U T M C S N J P E R K Q Y A B L H G V X D I W

22. Table 2.5: Type of local anaesthesia

23. Table 2.6: Distribution of single and multiple local anaesthesia

24. Table 2.7: Type of sedation given to patient who had local anaesthesia

25. Table 2.8: Distribution of IOL placement

26. Table 2.9: Distribution of cataract surgery without IOL

27. Table 2.10: Distribution of IOL- materials and types

28. 3. CATARACT SURGERY OUTCOMES 3
3. CATARACT SURGERY OUTCOMES Cataract Surgery Complications - Intra-Operative Table 3.1.1: Distribution of intra-operative complications by type of cataract surgery

29. Figure 3.1.1.1: Distribution of intra-operative complication
All surgeries 10 % 5
Any 2 4 6 8 1 3 5 7
Intra-operative complication

30. Type of cataract surgery
Figure : Distribution of intra-operative complication by posterior capsule rupture with vitreous loss and posterior capsule rupture without vitreous loss
PCR with vitreous loss
PCR without vitreous loss 20 15 % 10 5 LA
ECCE PE
PE to ECC
ICCE
2 IOL Imp
Type of cataract surgery

31. Type of cataract surgery
Figure : Distribution of intra-operative complication by zonular dialysis with vitreous loss and zonular dialysis without vitreous loss
ZD with vitreous loss
ZD without vitreous loss 20 15 % 10 5 LA
ECCE PE
PE to ECC
ICCE
2 IOL Imp
Type of cataract surgery

32. Table 3.1.2: Distribution of intra-operative complications by combined surgery
Number in each column might add up to be more than that recorded at row with ‘ Any intra-operative complication’ as one patient might have more than one type of intra-operative complications

33. Table 3.1.3: Distribution of intra-operative complications by nature of cataract surgery

34. Intra-operative complication
Figure 3.1.3: Distribution of intra-operative complications by nature of cataract surgery
Emergency
Elective 20 15 % 10 5
Any 2 4 6 8 1 3 5 7
Intra-operative complication

35. Table 3.1.4: Distribution of intra-operative complications by type of anaesthesia

36. Intra-operative complication
Figure 3.1.4: Distribution of intra-operative complications by type of anaesthesia
General
Local 10 % 5
Any 2 4 6 8 1 3 5 7
Intra-operative complication

37. Table 3.1.5: Distribution of intra-operative complications by type of local anaesthesia

38. Table 3.1.6: Distribution of intra-operative complications by single or multiple local anaesthesia

39. Intra-operative complication
Figure 3.1.6: Distribution of intra-operative complications by single or multiple local anaesthesia
Single anaesthesia
Multiple anaesthesia 10 % 5
Any 2 4 6 8 1 3 5 7
Intra-operative complication

40. Table 3.1.7: Distribution of intra-operative complications by type of sedation

41. Figure 3.1.7: Distribution of intra-operative complications by type of sedation
No sedation
Oral
Intravenous
Intravenous plus oral
Intramuscular 15 10 % 5
Any 2 4 6 8 1 3 5 7
Intra-operative complication

42. Table 3.1.8: Distribution of intra-operative complications by sedation

43. Intra-operative complication
Figure 3.1.8: Distribution of intra-operative complications by sedation
No Sedation
Single Sedation
Multiple Sedation 10 % 5
Any 2 4 6 8 1 3 5 7
Intra-operative complication

44. Table 3.1.9: Distribution of intra-operative complications by cataract surgery with IOL

45. Intra-operative complication
Figure 3.1.9: Distribution of intra-operative complications by cataract surgery with IOL
Posterior
Anterior
Scleral 80 60 % 40 20
Any 2 4 6 8 1 3 5 7
Intra-operative complication

46. Table 3.1.10: Distribution of intra-operative complications by cataract surgery without IOL

47. Intra-operative complication
Figure : Distribution of intra-operative complications by cataract surgery without IOL
IOL Planned
No IOL was planned 80 60 % 40 20
Any 2 4 6 8 1 3 5 7
Intra-operative complication

48. 3. 2 Cataract Surgery Complications - Post-Operative Table 3. 2
3.2 Cataract Surgery Complications - Post-Operative   Table 3.2.1: Distribution of post-operative complications

49. Table 3.2.2: Distribution of post-operative complications by IOL types

50. Table 3.2.3: Distribution of post-operative complication by material

51. Table 3.2.4: Post-operative complication by centre

55. 3. 3 Analysis On Cataract Surgery Visual Outcome Table 3. 3
3.3 Analysis On Cataract Surgery Visual Outcome Table 3.3.1: Median follow-up period in weeks (Patients with only unaided vision, refraction was not performed)

56. Table 3.3.2: Median follow-up period in weeks (Patients with refracted vision)

57. 3. 4 Post-Operative Visual Acuity Table 3. 4
3.4 Post-Operative Visual Acuity   Table 3.4.1: Distribution of post-operative VA

58. Figure 3.4.1.1: Distribution of post-operative VA
Unaided
Refracted 40 30 % 20 10
6/5
6/9
6/18
6/36
5/60
3/60
1/60 HM
NPL
6/6
6/12
6/24
6/60
4/60
2/60 CF PL
Visual acuity

59. Figure 3.4.1.2: Cumulative distribution of visual acuity by pre- and post-operative unaided VA
Pre-operative
Post-operative 1
.75
Cumulative distribution .5
.25
6/5
6/6
6/9
6/12
6/18
6/24
6/36
6/60
5/60
4/60
3/60
2/60
1/60 CF HM PL
NPL
Visual acuity

60. Figure 3.4.1.3: Cumulative distribution of visual acuity by pre- and post-operative refracted VA
Pre-operative
Post-operative 1
.75
Cumulative distribution .5
.25
6/5
6/6
6/9
6/12
6/18
6/24
6/36
6/60
5/60
4/60
3/60
2/60
1/60 CF HM PL
NPL
Visual acuity

61. Table 3.4.2: Distribution of post-operative refracted VA 6/12 or better at the last follow up, by surgery

62. Figure 3.4.2: Percent of patients with refracted VA 6/12 or better at the last follow up, by surgery
Unaided
Refracted
100
% VA 6/12 or better 50 LA
ECCE PE
PE to ECCE
ICCE
2 IOL Implant
Type of surgery

63. Table 3.4.3:Distribution of post-operative refracted VA 6/12 or better in relation to age and type of surgery

64. Table 3.4.4: Distribution of post-operative refracted VA 6/12 or better in relation to gender and type of surgery

65. Table 3.4.5: Distribution of post-operative refracted VA 6/12 or better in relation to co-morbidity and type of surgery

66. Table 3.4.6: Distribution of post-operative refracted VA 6/12 or better in relation to complication and type of surgery

67. Table 3.4.7: Distribution of post-operative refracted VA 6/12 or better in relation to nature of surgery and type of surgery

68. Table 3.4.8: Distribution of post-operative refracted VA 6/12 or better in relation to anaesthesia and type of surgery

69. Table 3.4.9: Distribution of post-operative refracted VA 6/12 or better in relation to combined surgery and type of surgery

70. Table : Distribution of post-operative refracted VA 6/12 or better in relation to IOL and type of surgery

71. Table : Distribution of post-operative refracted VA 6/12 or better in relation to surgeon status and type of surgery without ocular co-morbidity

72. Table : Distribution of post-operative refracted VA 6/12 or better in relation to centre and type of surgery

73. 3.5 Post-Operative Refracted VA Improved by One or More Line of Snellen Chart   Table 3.5.1: Distribution of post-operative refracted VA improved by one or more line of Snellen chart, at the last follow up

74. Table 3.5.2: Distribution of post- operative refracted VA improved by one or more line of Snellen chart, with and without ocular co-morbidity at the last follow up

75. Table 3.5.3: Distribution of post- operative refracted VA improved by one or more line of Snellen chart with intra-op complication and without intra-op complication, at the last follow up

76. Table 3.5.4: Distribution of post -operative refracted VA improved by one or more line of Snellen chart with systemic co-morbidity and without systemic co-morbidity, at the last follow up

77. Table 3.5.5: Distribution of post -operative refracted VA improved by one or more line of Snellen chart at the last follow up in relation to surgeon status and type of surgery without ocular comorbidity

78. 3.6 Factors Contributing to Post-Operative Refracted Visual Acuity of Worse than 6/12 Table 3.6.1: Distribution of factors contributing to post- operative refracted VA of worse than 6/12