dc.contributor.author | Kahaki, K. | |
dc.contributor.author | Ciku, M. | |
dc.contributor.author | Sheila, M. | |
dc.contributor.author | Onyango, O. | |
dc.contributor.author | Wachira, W. | |
dc.contributor.author | Elkana, O. | |
dc.contributor.author | Kagondu, F. | |
dc.contributor.author | Karimurio, J. | |
dc.contributor.author | Hans, L. | |
dc.date.accessioned | 2013-02-15T12:59:21Z | |
dc.date.issued | 2008 | |
dc.identifier.citation | East African Journal of Ophthalmology May 2008 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/10045 | |
dc.description.abstract | Objective: To assess the cataract surgical coverage, outcome of cataract surgery
and barriers to uptake of cataract surgical services.
Setting: Kericho, Bureti and Bomet districts CES Project.
Design: Cross-sectional population based survey using rapid assessment of
avoidable blindness (RAAB) method.
Participants: Fifty one clusters of 50 people aged 50 years or older were selected
by probability proportionate to size sampling of clusters. Compact segment
sampling was used to select households within the clusters. Two thousand fi ve
hundred and forty six people were eligible for the survey of which 2419 (95%)
were examined.
Methods: Participants underwent a comprehensive ocular examination in their
homes by an ophthalmologist. The visual acuity was measured using a tumbling
E chart. The cause of visual impairment was established. Those who had
undergone cataract surgery were questioned about the details of the operation
and their satisfaction with the surgery. Those who were visually impaired from
cataract were asked why they had not gone for surgery.
Results: Cataract was found to be the main cause of blindness (42.9%) and
visual impairment (42.7%) in those aged 50 years and older. The cataract
surgical coverage was high, with 87.2% of those with bilateral cataract who
needed surgery having had surgery at V/A<3/60. The quality of surgery was
of concern with 20.7% of the 222 eyes that had undergone cataract surgery
having a best corrected vision of <6/60. The main barriers to cataract surgery
were cost and lack of awareness.
Conclusions: The cataract surgical coverage in Kericho, Bureti and Bomet
districts is high. The outcome of surgery is below the WHO standard and needs
improvement. | en |
dc.language.iso | en | en |
dc.subject | Cataract Surgical Services | en |
dc.title | Cataract Surgical Services, Outcome and Barriers in Kericho, Bureti and Bomet Districts, Kenya | en |
dc.type | Article | en |
local.publisher | Department of Ophthalmology, School of Medicine, College of Health Sciences, University Of Nairobi | en |