Cataract surgery in mobile eye surgical unit: Safe and viable alternative

Aim: The aim of this study was to evaluate the utility and safety of a mobile eye surgical unit (MESU) in providing quality cataract surgery for the indigent rural population with poor access to quality eye care. Materials and Methods: Two buses connected by a vestibule were built to meet the requir...

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Bibliographic Details
Published in:Indian Journal of Ophthalmology
Main Authors: Rajesh Pioneer Sangameswaran, Gajendra Kumar Verma, Narayanan Raghavan, Jayaraj Joseph, Mohanasankar Sivaprakasam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=11;spage=835;epage=839;aulast=Sangameswaran
Description
Summary:Aim: The aim of this study was to evaluate the utility and safety of a mobile eye surgical unit (MESU) in providing quality cataract surgery for the indigent rural population with poor access to quality eye care. Materials and Methods: Two buses connected by a vestibule were built to meet the requirements for a self-sufficient operation theater (OT). In every camp, safe transportation of units, good alignment of buses, safe water, and maintenance of sterile environment were achieved with optimal utilization of OT. Results: Two thousand and twenty-one patients in 21 remote locations underwent cataract surgery in MESU between 2012 and 2015. Visual outcome was 6/9 or better in 79.3%, posterior capsular rupture in 0.91%, zonulardialysis in 0.3%, aphakia in 0.2%, iridodialysis in 0.2%, and there was no incidence of endophthalmitis. Conclusion: MESU is a safe alternative in combating preventable blindness due to cataract in far-off villages and tribal areas by providing quality eye care at the patient′s doorstep. This model has a great potential for duplication in other parts of India.
ISSN:0301-4738
1998-3689