Eye Camps Research Articles

Ocular thelaziasis: A case report from Assam, India

We report here a case of human ocular thelaziasis that was discovered accidentally during cataract surgery. A 58-year-old farmer attended an eye camp for diminished vision of the left eye, which was diagnosed later on as cataract. He was referred to a tertiary care hospital in Assam. During the cataract surgery, two small, motile, chalky white, translucent worms were removed from the left fornix. They were identified as female Thelazia callipaeda. Rare occurrence of this disease and its association with both extra and intraocular manifestations leading to ocular morbidity is the rationale for presenting this case.

Ocular Status, Health Seeking Behaviours and Barriers to Uptake Eye Care Services among Children of Slum Community in Chittagong, Bangladesh

Purpose: The purpose of this study was to find out the ocular status, ocular health seeking behaviors and barriers to uptake eye care services among children of slum community in Chittagong, Bangladesh. Methods: The study was conducted in several urban slums in Chittagong city, which is home of slum children. A total of 410 children aged 5 to 16 years were clinically examined. Their accompanying guardians were also interviewed for collecting data about health seeking behaviors and identifying the barriers, if any, to uptake eye care services. Three focus group discussions were also held with guardians. Results: About 47.3% of the sampled children were male and 52.7% female. About 40% of the children had some complain where we found 36.6% having some ocular abnormalities. Among the respondents (n=410), related with ocular abnormalities (n=150), the diagnosed problems were; Refractive Error (26.7%), Allergic Conjunctivitis (21.3%), Blepharitis (16.0%), Squint (7.3%), Convergence Insufficiency (6.6%), Meibomian Gland Dysfunction (8.7%), Dacryocystitis (3.3%), Conjunctivitis (4.0%), Congenital Cataract (2.7%), Corneal scar 2.0%, Pseudophakia 2.0%, Xerophthalmia (1.3%). Infrequently Entropin, Ptosis, Corneal Opacities, Retrobulbar Neuritis, Retinal Detachment, Episcleritis, Scleritis, Microphthalmos, Ocular FB, Chalazion, Stye, Nystagmus and Proptosis were also present in limited percentage. However 25.70% were referred to tertiary eye care center, 39.60% were treated with medicine, 22.20% were given optical correction, and 25.70% were given general measure. Most of them (73%) never went to an eye care specialist. The main reasons assigned for not going to a doctor were: financial constraints (16.30%), didn’t feel necessary (33.70%), lack of escort (3.4%), lack of time (3.7%), traditional belief (0.3%) and not aware of hospital doctor (4.5%). The Guardians consider recent cost of treatment is very high. They want low cost treatment, provide free spectacle, increase more hospital facilities and hold free eye camps. Conclusion: This study found very high ocular morbidities among slum children, the vast majority of the guardians’ cannot afford medical treatment for lack of money, awareness, escort, time and indifference to eyes. Though adequate eye care facilities are available in Chittagong city compared to many other urban and rural areas in Bangladesh, most of the slum dwellers can’t take advantage of it for financial reason and lack of knowledge.

Surgical eye camp in rural area of Nepal and its role in Vision 2020

Blindness continues to remain a major public health problem in Nepal and cataract is the leading cause. Cataract surgical coverage is relatively low in the rural areas where prevalence of blindness is high. To evaluate the role of surgical out­reached eye camps in rural Nepal and its impact in Vision 2020. This is a descriptive cross sectional camp based study in a remote village of Nepal, where 4 days screening of the eye disease mainly the cataract was done. 250 patients (54.80% males and 45.20% females) underwent eye health screening tests. Cataract was the commonest ocular disease (29.6%) among the screened population and 24% (60 patients) of them required cataract surgery (57% male and 43% female). The mean age of the operated patient was 71.84 ± 10.6years. Among the operated cases, bilateral blindness was present in 21.66% and unilateral blindness in 70% but after vision restoring cataract surgery, normal visual acuity (6/6-6/18) was achieved in 31(51.66%), and vision of 6/24-6/60 in 23 (38.33%) cases. Cataract remains to be the major cause of blindness in Nepal and arrangement of repeated surgical eye camps in the remote areas of Nepal could aid in reducing the prevent­able cause of blindness thereby help in achieving the goal of Vision 2020.

HEPATITIS B AND C;

Objectives: This study was conducted to find out the prevalence of HepatitisB and C in two different areas of southern Punjab. Settings: Layyah and Rajan pur region ofsouthern Punjab Pakistan. Study Design: Descriptive, cross sectional study. Study Period:This study was conducted during the period of August to November 2014. Methods: 1824subjects were selected from both male and female population visiting the free eye camps atLayyah and Rajanpur region. All the selected subjects were tested for HBsAg and for anti-HCVantibodies with Immuno-chromatographic test kit. Results: The cumulative prevalence wasfound 13 %, however the seropositivity of HCV was higher (nine %) as compared to HBV (four%). Conclusion: Findings of our study shows that HCV and HBV prevalence in under studyareas is higher than the nationwide average. This menace can only be cope up with creatingawareness about diseases and proper disease management.

English

Objectives: This study was conducted to find out the prevalence of HepatitisB and C in two different areas of southern Punjab. Settings: Layyah and Rajan pur region ofsouthern Punjab Pakistan. Study Design: Descriptive, cross sectional study. Study Period:This study was conducted during the period of August to November 2014. Methods: 1824subjects were selected from both male and female population visiting the free eye camps atLayyah and Rajanpur region. All the selected subjects were tested for HBsAg and for anti-HCVantibodies with Immuno-chromatographic test kit. Results: The cumulative prevalence wasfound 13 %, however the seropositivity of HCV was higher (nine %) as compared to HBV (four%). Conclusion: Findings of our study shows that HCV and HBV prevalence in under studyareas is higher than the nationwide average. This menace can only be cope up with creatingawareness about diseases and proper disease management.

Does Eye Camp Contribute to the Fight against Blindness? Experience of the Central Region in Togo

Aim: To evaluate results of cataract surgery in Eye Camp in rural areas. Patients and Method: This study set about the retrospective analysis of cases and operating reports of patients over the age of 10, operated for cataract in Eye Camp and fixed strategy from January, 2010 to December, 2012. Postoperative data were specified and compared. Results: Out of a total of 1145 patients operated, 577 (50.40%) were men compared with 568 (49.60%) women. The general mean age was 62 years, similar in Eye Camp and in fixed strategy. Sixty percent of patients were operated in Eye Camp. After 4 weeks of follow-up, 77% of patients were met again, and 83% among them showed good results (corrected visual acuity = 3/10). This rate of good results was 80.43% in Eye Camp against 87.7% in fixed strategy. We noted 18.25% of complications among which 11.25% were in Eye Camp. The functional outcomes of both strategies get closer to WHO standards. Conclusion: Eye Camp in the Central Region of Togo is an interesting alternative that contributes to the fight against blindness, even if postoperative follow-up is still to be improved.

Vision Screening in Underserved and Vulnerable Populations in Kenya, Africa.

Eye and vision disorders are seen as serious health concerns in HIV-positive children. The vision screening project was developed, planned, and implemented as a first-step pilot project to address a dire need for vision care in the high risk HIV-positive child. This field report describes the Eye Camp where 1,349 people were screened as a collaborative endeavor with a non-profit program for HIV/AIDS infected children located in Kenya.

Eliminating Avoidable Blindness Outreach Activities at Aravind Eye Care System

This case relates the genesis and evolution of vision centres (VCs) for primary eye care at Aravind Eye Care System (AECS). AECS, based in the south Indian state of Tamil Nadu, is the world's largest eye care provider. The case is based in 2014, exactly a decade after the first vision centre was opened, and evaluates the role of VCs in Aravind's outreach ecosystem. Community outreach programmes were an integral part of Aravind's model from the start and formed a central part of its vision of taking eye care to the community's doorstep. For many years, community outreach at Aravind was done through eye camps held in remote rural locations. Eye camps had worked extremely well for a long time. However, eye camps were not a perfect solution to Aravind's outreach goals for many reasons. Vision centres evolved as a way to address some of the shortcomings of eye camps, and both these outreach methods were employed in parallel. This case focuses on Aravind's vision centres and how they evolved over a decade, how they compare with the eye camps as a vehicle to attain Aravind's goals, and the opportunities and challenges ahead.

DIABETIC RETINOPATHY

Objectives: The purpose of this study was to evaluate the prevalence andcharacteristics of diabetic retinopathy (DR) in patients attending the free eye camps for cataractsurgery held in southern Punjab, Pakistan. Study Design: It was a cross sectional study. Setting:Free eye camps organized in different regions of the Southern Punjab, Pakistan. Period: July2004 to June 2015. Material and methods: These community-based eye camps were held bythe Department of Ophthalmology in collaboration of department of Pathology, B.V. Hospital,Bahawalpur, Pakistan. Participants were interviewed and examined by the ophthalmologists todetermine their demographic characteristics, presence & duration of medical conditions andthe regularity of their visits to eye care providers. All patients screened to have diabetes mellitus(DM) by pathologists underwent an eye examination through dilated pupils by using direct/indirect ophthalmoscope and slit-lamp bio-microscope to check for any signs of DR. Mainoutcome measure was the presence of diabetic retinopathy and its complications, which wasclassified as mild, moderate, severe NPDR, and proliferative diabetic retinopathy (PDR) basedon the clinical examination. Results: Of the 7989 screened patients, 759 (9.5%) had type-II DM.Of them, 638 patients (84%) underwent eye examination. Mean age of the diabetics was 45.75 ±8.17 years. Diabetic retinopathy was prevalent in 93 (15%) patients followed by non-proliferativeretinopathy was found in 87 (93.5%) patients and proliferative retinopathy was found only in 6(6.5%) patients. More male 52 (20.39%) were effected of DR as compare to female 41 (10.7%).Highly significant association of DR with duration of DM was seen. (P: 0.001). Conclusion: Itis concluded in this study that DR is commonly prevalent in Southern Punjab and the mostcommon type of DR is non-proliferative retinopathy. DR frequently prevalent in male diabeticsas compare to female diabetics and significant association of duration of DM with DR wasfound.

English

Objectives: The purpose of this study was to evaluate the prevalence and characteristics of diabetic retinopathy (DR) in patients attending the free eye camps for cataract surgery held in southern Punjab, Pakistan. Study Design: It was a cross sectional study. Setting: Free eye camps organized in different regions of the Southern Punjab, Pakistan. Period: July 2004 to June 2015. Material and methods: These community-based eye camps were held by the Department of Ophthalmology in collaboration of department of Pathology, B.V. Hospital, Bahawalpur, Pakistan. Participants were interviewed and examined by the ophthalmologists to determine their demographic characteristics, presence & duration of medical conditions and the regularity of their visits to eye care providers. All patients screened to have diabetes mellitus (DM) by pathologists underwent an eye examination through dilated pupils by using direct/ indirect ophthalmoscope and slit-lamp bio-microscope to check for any signs of DR. Main outcome measure was the presence of diabetic retinopathy and its complications, which was classified as mild, moderate, severe NPDR, and proliferative diabetic retinopathy (PDR) based on the clinical examination. Results: Of the 7989 screened patients, 759 (9.5%) had type-II DM. Of them, 638 patients (84%) underwent eye examination. Mean age of the diabetics was 45.75 ± 8.17 years. Diabetic retinopathy was prevalent in 93 (15%) patients followed by non-proliferative retinopathy was found in 87 (93.5%) patients and proliferative retinopathy was found only in 6 (6.5%) patients. More male 52 (20.39%) were effected of DR as compare to female 41 (10.7%). Highly significant association of DR with duration of DM was seen. (P: 0.001) . Conclusion: It is concluded in this study that DR is commonly prevalent in Southern Punjab and the most common type of DR is non-proliferative retinopathy. DR frequently prevalent in male diabetics as compare to female diabetics and significant association of duration of DM with DR was found.

Interrelation of retinopathy with peripheral neuropathy in diabetes mellitus

Context: Retinopathy and neuropathy are two most important complications of diabetes mellitus. As both the complications are dealt by two different medical fraternities, a better understanding of the association between the two will help us in its early management and prevention. Aim: To study the association of various risk factors with diabetic retinopathy and diabetic peripheral neuropathy (DPN) and to find out the association of prevalence of retinopathy with neuropathy. Settings and Design: Prospective study. Materials and Methods: The cases were selected from ophthalmology outdoor, eye camps, specialty camps, and multispecialty camps. Detailed history and relevant investigations were done. Patients underwent comprehensive ocular examination by ophthalmologist and neurological examination by physiotherapist. Results: Of the 100 patients having Type 2 diabetes for more than 5 years duration, 58% were males. Twenty-seven percent cases had retinopathy and 56% cases had peripheral neuropathy. DPN was seen approximately 2 times more than retinopathy. The occurrence of retinopathy in patients with mild (glycosylated hemoglobin [HbA1c] <7%) and moderate (HbA1c between 7% and 10%) deranged blood sugar was 19.0% and 67%, respectively, and peripheral neuropathy 64% and 83%, respectively. Among the uncontrolled cases, 32% had retinopathy and 68% had peripheral neuropathy. The prevalence of retinopathy increased 2.75 times in patients with neuropathy (37%) than in patients without peripheral neuropathy (14%). Conclusion: We found a higher prevalence of retinopathy in patients with neuropathy and thus a lookout for peripheral neuropathy should be kept in diabetics presenting to us with retinopathy.

Phacoemulsification versus small incision cataract surgery in patients with uveitis.

To compare the safety and efficacy of phacoemulsification and small incision cataract surgery (SICS) in patients with uveitic cataract. In a prospective, randomized multi-centric study, consecutive patients with uveitic cataract were randomized to receive phacoemulsification or manual SICS by either of two surgeons well versed with both the techniques. A minimum inflammation free period of 3mo (defined as less than 5 cells per high power field in anterior chamber) was a pre-requisite for eligibility for surgery. Superior scleral tunnel incisions were used for both techniques. Improvement in visual acuity post-operatively was the primary outcome measure and the rate of post-operative complications and surgical time were secondary outcome measures, respectively. Means of groups were compared using t-tests. One way analysis of variance (ANOVA) was used when there were more than two groups. Chi-square tests were used for proportions. Kaplan Meyer survival analysis was done and means for survival time was estimated at 95% confidence interval (CI). A P value of <0.05 was considered statistically significant. One hundred and twenty-six of 139 patients (90.6%) completed the 6-month follow-up. Seven patients were lost in follow up and another six excluded due to either follow-up less than six months (n=1) or inability implant an intraocular lens (IOL) because of insufficient capsular support following posterior capsule rupture (n=5). There was significant improvement in vision after both the procedures (paired t-test; P<0.001). On first postoperative day, uncorrected distance visual acuity (UDVA) was 20/63 or better in 31 (47%) patients in Phaco group and 26 (43.3%) patients in SICS group (P=0.384). The mean surgically induced astigmatism (SIA) was 0.86±0.34 dioptres (D) in the phacoemulsification group and 1.16±0.28 D in SICS group. The difference between the groups was significant (t-test, P=0.002). At 6mo, corrected distance visual acuity (CDVA) was 20/60 or better in 60 (90.9%) patients in Phaco group and 53 (88.3%) in the manual SICS group (P=0.478). The mean surgical time was significantly shorter in the manual SICS group (10.8±2.9 versus 13.2±2.6min) (P<0.001). Oral prednisolone, 1 mg/kg body weight was given 7d prior to surgery, continued post-operatively and tapered according to the inflammatory response over 4-6wk in patients with previously documented macular edema, recurrent uveitis, chronic anterior uveitis and intermediate uveitis. Rate of complications like macular edema (Chi-square, P=0.459), persistent uveitis (Chi-square, P=0.289) and posterior capsule opacification (Chi-square, P=0.474) were comparable between both the groups. Manual SICS and phacoemulsification do not differ significantly in complication rates and final CDVA outcomes. However, manual SICS is significantly faster. It may be the preferred technique in settings where surgical volume is high and access to phacoemulsification is limited, such as in eye camps. It may also be the appropriate technique for uveitic cataract under such circumstances.

Efficacy of small incision cataract surgery in community based eye camps: a report from Sindupalchowk, Nepal

Efficacy of small incision cataract surgery in community based eye camps: a report from Sindupalchowk, Nepal

Spectrum of ocular diseases in patients attending eye camps in Andaman and Nicobar

BackgroundAndaman and Nicobar Island is a group of 572 islands with a population of 3,80,500. The only service hospital as well as govt hospital is situated at its capital, Portblair. The islands are interconnected only by sea passage and to reach the capital by this route it sometimes takes two days. MethodsThe objective of this study is to assess the spectrum of different ocular diseases in remote islands of Andaman and Nicobar. Author had conducted various camps on these remote islands as a community outreach programme over two years. ResultsTop eye diseases found were refractive error (35%), cataract (22%), conjunctival infammatory disease (15%), glaucoma cases (07%), pterygium (07%), NLDO (02%) and uveitis (02%). Out of total 132 cataract patients screened, 32 patients (approximately 24%) were operated in INHS Dhanvantari at free of cost with help of NPCB (National Programme for Control of Blindness). ConclusionThis was the first kind of study conducted on these remote islands to know the prevalence of different ocular diseases. The important point to be seen in this study was unawareness of glaucoma and cataract load. No optometrist was posted in the PHCs to provide primary eye care like prescribing glasses, which is also a big concern.

Epidemiological study of patients availing free cataract services of national programme of control of blindness

Purpose: To find the proportion of patients who are blind or have low vision prior to undergoing free cataract surgery at a tertiary referral center, selected from free eye camps. To evaluate which patient groups are more in need of free cataract surgery, a series of consecutive cases of cataract that attended free eye camps and were operated during three years, 2008-2010, were evaluated. Materials and Methods: Using computerized assessment systems, we congregated data on pre-operative visual status, diagnosis, condition of other eye, age, gender, caste, and locality for 2507 patients. Visual status was defined as per World Health Organisation (WHO) classification. Results: A total of 2507 (15.06%) operations were performed out of 16,637 cases who attended eye camps, 63.3% were blind (V.A.<3/60) patients, 19.2% were with low vision (V.A. <6/60). Five hundred and seventy-eight (23.1%) patients were between 60-64 years of age followed by 491 (19.6%) in 70-74 years of age, and 456 (18.2%) in 65-69 years of age group. About 74.9% operations were performed on patients above 60 years of age. Females outnumbered males in ratio 1.3: 1.0 and operated cases of backward caste were 86.59% in comparison to general population (13.4%). Conclusion: The demand for free surgery amongst blind patients is still high for underprivileged urban as well as rural population. Backward caste, females, and citizens of age groups 71-80 and 81-90 are most in need of services of cataract programs because of lack of awareness and affordability.

Relationship of cumulative low-level dose of ionizing radiation on human eye lens and occurrence of cataract

International Commission for Radiological Protection (ICRP), issued a statement on Tissue Reaction, lowering the equivalent dose limit for eye lens for occupational exposure to 20 mSv per year. With a view to determine presence of any relationship between the cumulative low-level occupational radiation dose to the eye lens and occurrence of cataract, departmental records of the annual medical examination of employees of Narora Atomic Power Plant were examined along with the NAPS eye camps and surgical records of the employees. Analysis of the data showed no demonstrable definite relationship between the two. The analysis of the data and the observations are discussed in this paper.

Post-operative complications and visual outcome in eye camp patients undergoing sutureless cataract surgery at a Base Hospital in Vijayapura District, South India

Background: Cataract is the principal cause of blindness in India, accounting for 62.6%. This problem can be tackled, and the backlog of cataract blind can be reduced by performing cataract operations on a large scale. Base hospital approach with screening camps has shown good visual outcome with lesser complications. Aim and Objectives: To study the profile of postoperative complications and visual outcome in eye camp patients undergoing cataract surgery at the base hospital. Materials and Methods: In this cross-sectional study, 413 patients were included following screening at community screening camps. Patients underwent sutureless small-incision cataract extraction with intraocular lens implantation under local anesthesia at the base hospital. Postoperative complications and visual outcome were recorded. Results: Immediate postoperative complications were corneal edema (9.44%), striate keratitis (6.77%), expected uveitis (5.56%), secondary glaucoma (2.66%), residual lens matter (2.66%), iris prolapsed (0.48%) and shallow anterior chamber (0.24%), hyphema (0.24%) and iris incarceration (0.24%). Endophthalmitis was reported in 0.48% (one grew citrobacter, rarely reported). Late complications included posterior capsular opacification (3.87%) noted and retinal detachment (0.48%) later. Majority 83.39% of the patients had postoperative best corrected visual acuity (BCVA) between 6/6 and 6/18, 13.42% had BCVA between 6/18 and 6/60, 3.19% had BCVA < 6/60 as at 6 months follow-up visit (overall percentage is 100%). Conclusions: The overall vision-threatening complications after cataract extraction in the base hospital are low. Our study reflects the efficacy of the base hospital approach, in terms of visual and surgical outcome, as an important aspect from the public health point of view, which can help in clearing the cataract backlog in developing countries like India.

Assessment of awareness and psychosocial impact of strabismus in rural India

Purpose: To assess the awareness and psychosocial impact of strabismus in rural India Materials and Methods: A prospective observational case study was conducted in the ophthalmology unit of father Muller charitable institutions and in peripheral eye camps conducted by the institution on all squint patients during the study period . All the patients were interviewed by one investigator with an 8 point quality of life questionnaire and results were analysed . Results: A total of 40 patients were included in the study . Majority (90%) of the subjects were aware of their squint. However, only about 37.5% of the subjects were aware that apart from being a cosmetic issue, squint can also cause problems in vision. Squint was a concern always for 62.5% of the participants. And around half of them (52.5%) had been mocked for their squint either sometimes or always. Squint was sometimes or always a hindrance to routine activities or assuming leadership roles in 34.5% study participants. Over 60% of them had not sought medical help for their squint. The most common cause for not considering surgery for squint included not being advised the same (35%), followed by not having access to healthcare (22.5%), and having no family support (17.5%). Conclusions: The awareness about visual implications were low in the study population and a negative psychosocial impact was observed among the patients in the study

Small-incision cataract surgery in patients with Fuch's heterochromic iridocyclitis.

Fuch's heterochromic iridocyclitis (FHI) is often complicated by cataract formation. To assess the results of small-incision cataract surgery (SICS) in FHI and to study the effect of preoperative factors on postoperative vision. Sixty-three eyes of 59 patients with Fuchs heterochromic iridocyclitis who had SICS with in-the-bag implantation of intraocular lens (IOL) were evaluated retrospectively; and the primary and secondary outcome measures evaluated were the postoperative vision and complication rate. The mean age was 39.22±4.95 years. The mean pre-operative vision was 0.75±0.24 Log MAR units. The mean final vision was 0.27±0.10 Log MAR units (P=less than 0.001). At the final follow-up, 84.1% of the patients had a final Snellen's vision of 6/12 or better. The mean follow-up period was 12.06±2.06 months. The causes of corrected distance visual acuity (CDVA) worse than 6/60 were vitreous opacities, posterior keratic precipitates (KPs), glaucoma, persistent uveitis and cystoid macular edema (CME). Preoperative factors like iris atrophy (P=0.973), heterochromia (P=0.10) and vessels in angle (P=0.074) did not have a significant effect on the final vision. On the contrary, vitreous opacities (P=0.002) and posterior KPs (P=0.009) had a significant effect on the final visual outcome. SICS with in-the-bag implantation of IOL in patients with Fuch's heterochromic iridocyclitis resulted in good visual outcomes. SICS in complicated cataracts can be performed in rural settings and eye camps with minimal instrumentation, obviating the need for referral to tertiary care centers. Pre-operative factors like vitreous opacities and posterior KPs have a significant effect on the final vision.

Outcome of Cataract Surgery from Outreach Eye Camp

Purpose: To share the concept of Reach in Programme (RIP) outreach eye care model and presents its outcome for the last five years of services (2009-13). Methodology: Reach in Programme: RIP is primarily Public-Private partnership model for outreach cataract intervention services with occasional involvement of Panchayati Raj Institution. Operable cataract patients were identified and referred to base hospital for intervention. Review of the RIP files and registers as primary sources of the data and cataract surgical records as secondary sources was done during June & July of 2013. Data were collected on those patients who had undergone surgery through outreach eye care services only. Data were entered in Microsoft excel and analyzed descriptively. The outcome was presented in terms of quantity and visual acuity status as a dichotomized optotype with a cut off of 6/60. Results: A total of 8735 (M=47.5%; F=52.5%) patients were operated in either eye during the five year period (2009-13) out of 9729 admitted. Of the total operated, 19% of them were less than 50 years of age. Very few were conventional surgery (2.2%); rests were phaco-emulsification technique. Preoperatively, 60% had visual acuity <6/60 in the operated eye. Six weeks’ after surgery, 9.5% had poor visual outcome (<6/60) out of total follow up (415/5241) without any correction. Records of 61 patients were available for poor visual outcome that was attributed to surgical complications. Bullous keratopathy (27), posterior capsular opacity (16), uveitis (10) were maximally documented in decreasing numbers. Conclusions: Quite an amount of cataract surgery was conducted through our outreach eye care services with reasonably good quality. Strategy needs to be developed to improve follow up compliance as well as the reasons of poor outcome records.