title: Cataract surgery in mobile eye surgical unit: Safe and viable alternative.
abstract: OBJECTIVE
  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.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Sankara Nethralaya Medical Research Foundation, Chennai, Tamil Nadu, India.
authors.forename: Rajesh Pioneer
authors.initials: RP
authors.lastname: Sangameswaran
authors.affiliation: Sankara Nethralaya Medical Research Foundation, Chennai, Tamil Nadu, India.
authors.forename: Gajendra Kumar
authors.initials: GK
authors.lastname: Verma
authors.affiliation: Sankara Nethralaya Medical Research Foundation, Chennai, Tamil Nadu, India.
authors.forename: Narayanan
authors.initials: N
authors.lastname: Raghavan
authors.affiliation: Department of Electrical Engineering, Healthcare Technology Innovation Center, A Joint Initiative of IIT Madras and Department of Biotechnology, Ministry of Science and Technology, Chennai, Tamil Nadu, India.
authors.forename: Jayaraj
authors.initials: J
authors.lastname: Joseph
authors.affiliation: Department of Electrical Engineering, Healthcare Technology Innovation Center, A Joint Initiative of IIT Madras and Department of Biotechnology, Ministry of Science and Technology, Chennai, Tamil Nadu, India.
authors.forename: Mohanasankar
authors.initials: M
authors.lastname: Sivaprakasam
mesh_terms: D000328:Adult; D000368:Aged; D002386:Cataract / Q000453:epidemiology*; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D006801:Humans; D015994:Incidence; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D008952:Mobile Health Units; D019035:Rural Health Services / Q000458:organization & administration*; D012424:Rural Population; D016896:Treatment Outcome