Cataract Surgery Protocol – Nepal

Cataract is a leading cause of blindness globally; in Nepal it accounts for approximately 62% of avoidable blindness. Nepal performs nearly 350,000 cataract surgeries every year. Despite the volume of cataract surgeries, the quality of outcomes – 80% of patients should have good visual outcome of 6/18 or better, according to the standard set by…

Does Cataract Surgery Alleviate Poverty? Evidence from a Multi-Centre Intervention Study Conducted in Kenya, the Philippines and Bangladesh

Background Poverty and blindness are believed to be intimately linked, but empirical data supporting this purported relationship are sparse. The objective of this study is to assess whether there is a reduction in poverty after cataract surgery among visually impaired cases. Methodology/Principal Findings A multi-centre intervention study was conducted in three countries (Kenya, Philippines, Bangladesh).…

Assessment of cataract surgical outcomes in settings where follow-up is poor: PRECOG, a multicentre observational study

Background Poor follow-up after cataract surgery in developing countries makes assessment of operative quality uncertain. We aimed to assess two strategies to measure visual outcome: recording the visual acuity of all patients 3 or fewer days postoperatively (early postoperative assessment), and recording that of only those patients who returned for the final follow-up examination after…

Prevalence of refractive error in Europe

Abstract To estimate the prevalence of refractive error in adults across Europe. Refractive data (mean spherical equivalent) collected between 1990 and 2013 from fifteen population-based cohort and cross-sectional studies of the European Eye Epidemiology (E3) Consortium were combined in a random effects meta-analysis stratified by 5-year age intervals and gender. Participants were excluded if they…

Increasing Prevalence of Myopia in Europe and the Impact of Education

Purpose To investigate whether myopia is becoming more common across Europe and explore whether increasing education levels, an important environmental risk factor for myopia, might explain any temporal trend. Design Meta-analysis of population-based, cross-sectional studies from the European Eye Epidemiology (E3) Consortium. Participants The E3 Consortium is a collaborative network of epidemiological studies of common…

The Emerging Epidemic of Diabetic Retinopathy in India

This report provides crucial guidance on how best to tackle what is fast becoming a leading cause of blindness in the Commonwealth and around the world. Diabetes, which has now reached epidemic levels, brings with it the devastating threat of vision loss and irreversible blindness. Of the estimated 385 million people diagnosed with diabetes globally, over 65…

Situational analysis and strategy for change in Myanmar

An evaluation of the current eye care status in Myanmar was carried out between 3rd June and 11th Jun 2013 to look at the existing situation pertaining to infrastructure, human resources, service delivery, training facilities and role of other service providers (including nongovernmental organizations) for eye care in Myanmar with the purpose of recommending future directions in Myanmar.  The…

Epidemiology of Blindness in Nepal

Nepal is one of the first countries where a nation-wide population-based survey on blindness and visual impairment was done in 1980-81. Results from this survey helped to mobilise support and to build an elaborate eye care infrastructure in the country.   To reassess the situation, between 2006 and 2010 surveys were repeated in all 14…

Retinopathy of prematurity: A global perspective of the epidemics, population of babies at risk and implications for control

Abstract: Globally at least 50,000 children are blind from retinopathy of prematurity (ROP) which is now a significant cause of blindness in many middle income countries in Latin American and Eastern Europe. Retinopathy of prematurity is also being reported from the emerging economies of India and China. The characteristics of babies developing severe disease varies,…