Barriers to follow-up for pediatric cataract surgery in Maharashtra, India: How regular follow-up is important for good outcome. The Miraj Pediatric Cataract Study II.

Simple item page
dc.contributor.authorGogate, Parikshit
dc.contributor.authorPatil, Shailbala
dc.contributor.authorKulkarni, Anil
dc.contributor.authorMahadik, Ashok
dc.contributor.authorTamboli, Rahin
dc.contributor.authorMane, Rekha
dc.contributor.authorBorah, Rishiraj
dc.contributor.authorRao, G V
dc.date.accessioned2015-01-29T04:45:26Z
dc.date.available2015-01-29T04:45:26Z
dc.date.issued2014-03
dc.description.abstractBackground: Regular follow up and amblyopia treatment are essential for good outcomes after pediatric cataract surgery. Aim: To study the regularity of follow‑up after cataract surgery in children and to gauge the causes of poor compliance to follow up. Subjects: 262 children (393 cataracts) who underwent cataract surgery in 2004-8. Materials and Methods: The children were identified and examined in their homes and a “barriers to follow‑up” questionnaire completed. Demographic data collected, visual acuity estimated, and ocular examination performed. Statistical Analysis: SPSS version 19. Results: Of the 262 children, only 53 (20.6%) had been regularly following up with any hospital, 209 (79.4%) had not. A total of 150 (57.3%) were boys and the average age was 13.23 years (Std Dev 5 yrs). Poor follow up was associated with the older age group (P < 0.001), less education of mother (P = 0.012), father’s occupation (P = 0.031), how much money spent on travel (P = 0.033) and was it paid or free surgery (P = 0.001). It was not related to gender, numbers of children in family, ordinal status of child, and social strata. Distance and cost were major barriers, as was the inability of the eye care center to communicate the importance of follow up. A prospective follow‑up visit showed that 93 children needed Nd: YAG LASER capsulotomy, 5 needed low vision aids, 4 contact lens, and 162 a change of spectacles. The average visual acuity improved in 150 (38.8%) eyes >1 line with regular follow‑up. Conclusion: Regular follow‑up is important and improves vision; eye care practitioners need to take special efforts to ensure better follow‑up.en_US
dc.identifier.citationGogate Parikshit, Patil Shailbala, Kulkarni Anil, Mahadik Ashok, Tamboli Rahin, Mane Rekha, Borah Rishiraj, Rao G V. Barriers to follow-up for pediatric cataract surgery in Maharashtra, India: How regular follow-up is important for good outcome. The Miraj Pediatric Cataract Study II. Indian Journal of Ophthalmology. 2014 Mar ; 62 (3): 327-332.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/155562
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061672/en_US
dc.subjectBarriers to follow‑upen_US
dc.subjectpediatric cataracten_US
dc.subjectvisual outcomeen_US
dc.titleBarriers to follow-up for pediatric cataract surgery in Maharashtra, India: How regular follow-up is important for good outcome. The Miraj Pediatric Cataract Study II.en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijo2014v62n3p327.pdf
Size:
540.41 KB
Format:
Adobe Portable Document Format
Description:
Original article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Indian Journal of Ophthalmology