title: Preoperative visual acuity of people undergoing cataract surgery in rural and urban Nepal.
abstract: BACKGROUND
  Preoperative presenting visual acuity (PPVA) is not a commonly reported indicator for the delivery of cataract services. This study aimed to evaluate the PPVA of patients undergoing cataract surgery in rural and urban areas of Nepal.
  
  
  METHODS
  A prospective, non-interventional study conducted from October 2007 to March 2008 in a tertiary hospital and outreach clinics of Nepal.
  
  
  METHODS
  A total of 3023 consecutive subjects from urban and rural settings (1323 from the tertiary hospital and 1700 from outreach clinics) with cataract were included.
  
  
  METHODS
  Visual acuity was tested with a Snellen E-chart at 6 m by ophthalmic assistants. All Outreach Microsurgical Eye Clinic patients were examined by either ophthalmologists or senior ophthalmic assistants. Patients at the Tertiary Eye Care Centre were examined only by ophthalmologists.
  
  
  METHODS
  Preoperative presenting visual acuity of patients undergoing cataract surgery was measured in both the settings.
  
  
  RESULTS
  The sex ratio was 0.96 (male/female). Based on PPVA, 11.5% of patients operated were blind (PPVA < 3/60 in the better eye). The proportion of blind people operated was similar in rural (11.4%) to urban (11.6%) areas. The proportion of blind eyes operated was higher in rural (50.7%) compared to urban (38.9%) areas.
  
  
  CONCLUSIONS
  Despite a comparatively high volume of cataract surgery carried out in Nepal every year, only about one in eight patients operated for cataract in the sample population was blind. PPVA is an important indicator for the progress towards eliminating cataract blindness.
authors.affiliation: Tilganga Institute of Ophthalmology, Kathmandu, Nepal. reeta@tilganga.com.np
authors.forename: Reeta
authors.initials: R
authors.lastname: Gurung
authors.forename: Mohan K
authors.initials: MK
authors.lastname: Shrestha
authors.forename: Andreas
authors.initials: A
authors.lastname: Müller
authors.forename: Sanduk
authors.initials: S
authors.lastname: Ruit
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001766:Blindness / Q000503:physiopathology* / Q000534:rehabilitation; D002386:Cataract / Q000503:physiopathology* / Q000534:rehabilitation; D002387:Cataract Extraction / Q000706:statistics & numerical data*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal / Q000453:epidemiology; D057234:Preoperative Period; D011446:Prospective Studies; D012424:Rural Population / Q000706:statistics & numerical data*; D017678:Sex Distribution; D014505:Urban Population / Q000706:statistics & numerical data*; D015354:Vision, Low / Q000503:physiopathology / Q000534:rehabilitation; D014792:Visual Acuity / Q000502:physiology*; D055815:Young Adult