1. IAPB 9 th General Assembly HICC Hyderabad 19 September 2012 Long term visual outcome after cataract surgery in a district community eye care centre in rural Nepal Sunu Dulal MD MSc (ICEH) Nepal Netra Jyoti Sangh

2. Introduction >80% of the blind people live in rural community of the developing countries. Resources for the eye care service delivery remains at the cities. There are barriers for the people living in the community to come to the hospital Surgical Eye camps are still the most effective way to provide eye care services to the people in country like Nepal

3. Methodology Stratified cluster sampling, 24 clusters After a random start, 50 individuals aged 50+ were enumerated and examined sequentially. All those who had undergone cataract surgery for longer than a year and consented for the study were included for the study. VA were recorded. Those with VA of <6/18 were dilated and examined by ophthalmologist to find cause for poor vision. 1,200 individuals aged 50 years and above were enumerated and 144 eyes were included for the study

4. Findings Visual AcuityPresenting VABCVA 6/6-6/18 Good95 (66.0%)116 (80.6%) <6/18-6/60 Borderline18 (12.5%)13 (9.0%) <6/60 Poor31 (21.5%)15 (10.4%) Causes of Poor visual outcome: Pre existing ocular disease (Selection): 10 (66.7%) Surgical Complication (Surgery): 3 (20%) Long term complication (Sequelae): 2 (13.3%)

5. Conclusions Eye camps are still one of the effective way to provide surgical services in remote places Case selection very important Experienced surgeon, strict adherence to the surgical protocols and periodic follow up are the major contributing factors for the success of the eye camps

6. Thank You Before Surgery After Surgery