To measure visual acuity and vision-related quality of life in individuals in rural China operated on for cataract.
Five thousand fifty-two persons age 50 years and older, 90.9% (5,052/5,555) of a randomly selected population in Shunyi County, were examined in the fall of 1996.
Visual functioning and quality of life questionnaires were administered to those with presenting visual acuity less than 6/60 in either eye and to those who were aphakic or pseudophakic.
Of the 87 individuals operated on for cataract, 12% (10/87) had presenting visual acuity of 6/18 or more in both eyes, and 24.1% (21/87) had less than 6/60.
Twenty-five percent (29/116) of the 116 eyes operated on for cataract had presenting visual acuity of 6/18 or more, and 44.8% (52/116) had less than 6/60.
Aphakic cases without glasses and uncorrectable aphakia attributable to surgical complications were common.
In a multivariate regression model, including time period of surgery, hospital type, and surgical procedure, only pseudophakia was associated with better outcomes (P=05).
On a scale from 0 (maximum problems) to 100 (no problems), the mean visual functioning score (±SD) for the operated-on population was 61.9 ± 30.0, and 71.0 ± 31.8 for the quality of life questionnaire.
These scores were comparable to those of the unoperated-on population with moderate bilateral blindness (<6/60 to =3/60 in the better eye). (...)
Mots-clés Pascal : Cataracte, Chirurgie, Traitement, Acuité visuelle, Qualité vie, Postopératoire, Chine, Asie, Zone rurale, Vieillard, Homme, Oeil pathologie, Cristallin pathologie, Segment antérieur pathologie
Mots-clés Pascal anglais : Cataract, Surgery, Treatment, Visual acuity, Quality of life, Postoperative, China, Asia, Rural area, Elderly, Human, Eye disease, Lens disease, Anterior segment disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0487246
Code Inist : 002B25B. Création : 19/02/1999.