State of the nation survey on cataract surgery in India

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Date
2022-11
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
Purpose: To study the knowledge, attitudes, and practices of the ophthalmologists in India regarding cataract extraction practices. Methods: A prospective, online, descriptive study was conducted from January 2022 to April 2022 using a self?developed validated questionnaire attached which was administered through a generated link. Results: The mean age of these 153 respondents was 47.02 (SD = 11.53) years with a male preponderance (70.59%). The majority (52.9%) had completed a fellowship after their post?graduation, and 56.20% provided sub?specialty services. Comprehensive ophthalmology (69.93%) and anterior segment (50.32%) practice were the most popular. Although 76.47% of respondents used a mix of techniques, 11.11% surgeons used only phaco?emulsification and 9.8% used only manual small? incision cataract surgery (MSICS) as the lone cataract treatment modality. Roughly 38% felt that outcomes were comparable for phaco?emulsification and MSICS, whereas about 44% opined that the outcomes of phaco?emulsification were better. MSICS outcomes were reported to be better by approximately 15%. The frown incision (53.59%), the straight incision (19.60%), and the straight incision with back cuts (10.45%) were popular. The majority (71.24%) of the respondents were willing to train fellow ophthalmologists and youngsters in MSICS. Standalone practices and family practices (42.48%), private eye institutes (10.45%), medical colleges (12.41%), and government non?teaching hospitals (11.11%) were the major service providers. 4% were working in rural hinterland. Conclusion: The majority of the surgeons use a mix of cataract extraction operative techniques. A large, willing talent pool of manual small?incision cataract surgeons exists. India can be a global hub for MSICS delivery and training
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Keywords
Cataract extraction, manual small?incision cataract surgery, techniques
Citation
Bali Jatinder, Bali Ojasvini, Sahu Amulya, Boramani Jagannath, Senthil Tamilarasan, Deori Nilutparna. State of the nation survey on cataract surgery in India. Indian Journal of Ophthalmology. 2022 Nov; 70(11): 3812-3817