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Indian J Ophthalmol. 2016 Nov;64(11):835-839. doi: 10.4103/0301-4738.195599.

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

Author information

  • 1Sankara Nethralaya Medical Research Foundation, Chennai, Tamil Nadu, India.
  • 2Department 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.

Abstract

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.

PMID:
27958207
DOI:
10.4103/0301-4738.195599
[PubMed - in process]
Free PMC Article
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