Estimation of provider cost and the out of pocket expenditure for cataract surgery at a base hospital

: To assess the effectiveness of rural camps held under DBCS (District Blindness Control Programme) & compare the results of cataract surgery at base hospital cases. It is a retrospective observational study, medical records of patients operated for cataract in camp & patients operated in base hospital are analyzed.In our hospital outpatient department, we saw 2,08,716 patients from 2010-2019 and 7796 underwent cataract surgery. Under DBCS we conducted 262 camps from 2010-2019 & 4611 underwent cataract surgery.A total of 27,524 patients got screened in 262 rural camps and 4671 underwent small incision cataract surgery at the base hospital after detailed clinical examination and IOL (intraocular lens) power calculation for each patient. Among 2,08,716 outpatients at the base hospital, 7796 underwent cataract surgery. The rate of intraoperative complications in the base hospital was 0.885% whereas in camp cases 1.94%.IOL implantation is done in 100%cases in base hospital surgeries and 0.064%patients left aphakic among rural camps.Screening at outreach camps and surgeries at the base hospital can have excellent results. Mass surgeries in camps following standard protocol can have the least number of complications.

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Safety, efficacy and cost-effectiveness of consecutive bilateral cataract surgery on two successive days in tribes at base hospital through community outreach program: A prospective study of Aravali Mountain, North West India

Indian Journal of Ophthalmology ◽

10.4103/ijo.ijo_641_17 ◽

2017 ◽

Vol 65 (12) ◽

pp. 1477

Author(s):

Amit Mohan ◽

Navjot Kaur ◽

VishalC Bhatanagar

Keyword(s):

Cost Effectiveness ◽

Prospective Study ◽

Cataract Surgery ◽

Community Outreach ◽

Outreach Program ◽

Bilateral Cataract ◽

North West ◽

Base Hospital ◽

A Prospective Study

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Relevance of mandatory glaucoma screening in all patients from outreach cataract camps referred to a base hospital for cataract surgery

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20204373 ◽

2020 ◽

Vol 7 (10) ◽

pp. 4037

Author(s):

Vijay P. S. Tomar ◽

Sandeep Sharma ◽

Rahul Bhardwaj ◽

Arjun Bamel ◽

Amrapali Bobade ◽

...

Keyword(s):

Cataract Surgery ◽

Medical Records ◽

Open Angle Glaucoma ◽

Angle Closure ◽

Glaucoma Screening ◽

Primary Angle Closure ◽

Base Hospital ◽

Primary Angle Closure Glaucoma ◽

The Mean ◽

Systemic Examination

Background: Glaucoma is the first cause of irreversible blindness and second leading cause of visual loss in the world. The purpose of this study was to conduct mandatory glaucoma screening and to find out the prevalence of glaucoma, in all patients referred for cataract surgery to a base hospital. Methods: A retrospective analysis was conducted of all patients referred from rural screening camps to base hospital for cataract surgery. Medical records of 5024 consecutive patients referred to base hospital from the month of January to June 2019 were reviewed. All these 5024 patients underwent comprehensive ophthalmic and systemic examination. Those patients in which glaucoma was suspected, were referred to glaucoma clinic for further evaluation.Results: Total 5024 patient’s records were analysed retrospectively. The mean age of the participants was 57.2±8.149 ranged from 40-95 years and average age of patients having cataract with glaucoma was 61.3±9.423. Total patients of glaucoma with cataract were 188 (3.7%). The prevalence of primary open angle glaucoma (POAG) and Primary angle closure glaucoma (PACG) was 1.69% and 1.17% respectively while secondary glaucoma was found in 0.88% of the patients. The prevalence of ocular hypertension, PAC and PACS was 0.33%, 0.29% and 0.83% respectively.Conclusion: The prevalence of glaucoma in this study was 3.7% of those planned for cataract surgery. Therefore, mandatory glaucoma screening in all patients from outreach cataract camps would result in detection of a large number of those with undiagnosed glaucoma.

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