Observation of Factors Associated with Non-Compliance to Post-Operative Follow-up after Cataract Surgery

Abstract

Background: Blindness is a substantial concern in Bangladesh, which is part of the South East Asia region under the World Health Organization. Cataracts are a major contributor to blindness, accounting for a significant percentage of cases. However, the outcomes of cataract surgery in the region are worrisome, with many postoperative eyes experiencing poor visual acuity. Compliance to post-operative care, especially timely follow-ups, is crucial for optimal outcomes, but non-compliance is a significant issue, particularly in rural areas. This study examines the reasons for non-compliance to post-operative follow-ups in cataract surgery patients at a district hospital in Bangladesh. Methods: This study was conducted at District Sadar Hospital, Jhalakathi, spanning a year. It included 278 cataract surgery patients. Detailed patient histories were collected, and patients were counseled about the surgery and the importance of follow-ups. A single surgeon performed the surgeries according to established protocols. Post-operative medication and follow-up appointments were prescribed. Reasons for missed follow-ups were documented, and data were recorded in tables and figures. Result: During the operative period, there were 123 males and 155 females. The first follow-up had 80 males and 95 females, while the second follow-up had 16 males and 17 females. Key factors for non-compliance by the second follow-up were identified, including transport cost, absence of an attendant, improved vision with no complications, severe weakness, loss of discharge letter, uncooperative hospital staff, lack of improved vision, and a combination of factors. Conclusion: The study recommends public awareness programs and dedicated hospital counselors to improve understanding and compliance with post-operative follow-ups. This approach could significantly enhance the effectiveness of cataract surgery outcomes and restore post-operative vision effectively. However, it's important to note that ....