Data on cataract details was obtained from the 50+ population survey result. The cataract surgical coverage among people with Best Corrected Visual Acuity <3/60, <6/60 and <6/18 were 93.2%, 89.0% and 74.0% respectively. Majority (94.3%) of surgeries were with intra-ocular implants. More than half the surgeries (60.7%) were taking place in NGO/private set-up. The important barriers to cataract surgery were financial constraint and local reason/individual problems like no one to accompany, some other engagement at home etc.
Presenting visual acuity < 3/60 in better eye
Presenting visual acuity < 6/60 – 3/60 in better eye
Presenting visual acuity < 6/18 – 6/60 in better eye
Presenting visual acuity < 6/12 – 6/18 in better eye
Presenting visual acuity <6/18-3/60 in better eye
Presenting visual acuity < 6/18 in better eye
A person with impairment of visual functioning even after treatment and/or standard refractive correction, and a visual acuity of less than 6/18 to light perception, or a visual field of less than 10 degree from the point of fixation.
Cataract Surgical Coverage (Person) indicates how many persons received cataract surgery (one or both eyes) among all who were bilaterally pinhole blind due to cataract.
The numerator includes persons with one operated and one pinhole blind eye and persons with bilateral (pseudo) aphakia. The denominator includes the numerator, plus persons bilaterally pinhole blind due to cataract. Besides this, the indicator can also be calculated separately for PinVA <6/60 and <6/18.
Cataract Surgical Coverage (Eye) measures the proportions of eyes pinhole blind due to cataract, which have been operated so far.
The numerator includes all (pseudo) aphakic eyes. The denominator includes the numerator, plus eyes pinhole blind due to cataract. Besides this, the indicator can also be calculated separately for PinVA <6/60 and <6/18.
| Pseudophakia/Aphakia | Male (%) | Female (%) | Total (%) |
|---|---|---|---|
| Bilateral pseudophakia/aphakia | 8.04 | 9.89 | 8.96 |
| Unilateral pseudophakia/aphakia | 8.69 | 10.23 | 9.46 |
| Eyes pseudophakia/aphakia | 12.38 | 15.01 | 13.69 |
| Males (%) | Females (%) | Total (%) | |
|---|---|---|---|
| Cataract surgical coverage (persons) | |||
| Pin hole VA < 3/60 | 94.8 | 91.9 | 93.2 |
| Pin hole VA < 6/60 | 90.7 | 87.7 | 89.0 |
| Pin hole VA < 6/18 | 75.6 | 72.7 | 74.0 |
| Cataract surgical coverage (eyes) | |||
| Pin hole VA < 3/60 | 81.8 | 78.9 | 80.2 |
| Pin hole VA < 6/60 | 76.0 | 73.4 | 74.6 |
| Pin hole VA < 6/18 | 57.7 | 56.9 | 57.2 |
| Pinhole vision category-wise cataract | Male (%) | Female (%) | Total (%) |
|---|---|---|---|
| Cataract and pinhole VA<3/60 in better eye | |||
| Bilateral cataract | 0.59 | 1.09 | 0.84 |
| Unilateral cataract | 4.12 | 5.28 | 4.70 |
| Cataract eyes | 2.65 | 3.73 | 3.19 |
| Cataract and pinhole VA<6/60 in better eye | |||
| Bilateral cataract | 1.17 | 1.88 | 1.53 |
| Unilateral cataract | 5.45 | 6.79 | 6.12 |
| Cataract eyes | 3.78 | 5.09 | 4.43 |
| Cataract and pinhole VA<6/18 in better eye | |||
| Bilateral cataract | 4.31 | 5.88 | 5.09 |
| Unilateral cataract | 10.19 | 11.39 | 10.79 |
| Cataract eyes | 8.89 | 10.79 | 9.84 |
| Presenting visual acuity (PVA) | Best corrected visual acuity (BCVA) | |||||
|---|---|---|---|---|---|---|
| Non-IOL % | IOL % | Total % | Non-IOL % | IOL % | Total % | |
| Very good: can see 6/12 | 15.3 | 60.3 | 57.8 | 26.2 | 76.3 | 73.4 |
| Good <6/12- 6/18 | 13.6 | 18.0 | 17.7 | 19.3 | 9.9 | 10.5 |
| Borderline <6/18-6/60 | 18.1 | 13.3 | 13.6 | 17.5 | 7.0 | 7.6 |
| Poor < 6/60 | 53.0 | 8.4 | 10.9 | 37.1 | 6.8 | 8.5 |
| Ocular comorbidity (%) | Operative complications (%) | Refractive error (%) | Long term complications (%) | |
|---|---|---|---|---|
| Borderline <6/18-6/60 | 20.3 | 33.9 | 25.9 | 19.9 |
| Poor <6/60 | 41.4 | 31.2 | 8.8 | 18.7 |
| Males (%) | Females (%) | Total (%) | |
|---|---|---|---|
| Need not felt | 16.4 | 17.9 | 17.4 |
| Fear | 11.6 | 17.0 | 15.3 |
| Cost | 33.6 | 22.6 | 26.2 |
| Treatment denied by provider (including systemic comorbidities) | 6.8 | 8.7 | 8.1 |
| Unaware treatment is possible | 2.8 | 3.0 | 2.9 |
| Cannot access treatment | 6.4 | 8.1 | 7.6 |
| Local reason (seasonal preferences, personal reasons, no one to accompany) | 22.4 | 22.6 | 22.5 |