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

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

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.

MeSH terms

  • Adult
  • Aged
  • Cataract / epidemiology*
  • Cataract Extraction / methods*
  • Female
  • Humans
  • Incidence
  • India / epidemiology
  • Male
  • Middle Aged
  • Mobile Health Units*
  • Rural Health Services / organization & administration*
  • Rural Population*
  • Treatment Outcome