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Trends in Outpatient Cataract Surgery in the Islamic Republic of Iran, 2006–2010; [Tendances De La Chirurgie Ambulatoire De La Cataracte En Republique Islamique D’Iran, 2006-2010] Publisher Pubmed



Hashemi H1 ; Fotouhi A2 ; Rezvan F3 ; Gilasi H4 ; Asgari S3 ; Mohazzabtorabi S1 ; Etemad K5 ; Yekta A6 ; Khabazkhoob M7
Authors
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Authors Affiliations
  1. 1. Noor Research Centre for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran
  2. 2. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Noor Ophthalmology Research Centre, Noor Eye Hospital, Tehran, Iran
  4. 4. Department of Public Health and Biostatistics, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran
  5. 5. Department of Epidemiology, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Department of Optometry, School of Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
  7. 7. Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Eastern Mediterranean Health Journal Published:2016


Abstract

This study aimed to determine the trends in outpatient cataract surgery and its determinants in the Islamic Republic of Iran between 2006 and 2010. In this cross-sectional study, 106 cataract surgery centres were selected in all provinces by multistage randomized cluster sampling. The number of centres in each province was determined from the number of cataract operations and the number of patient charts examined in each centre was proportionate to the number of cataract operations in that centre. The prevalence of outpatient surgery increased from 46.0% (95% CI, 35.3–56.8) in 2006 to 51.4% (95% CI, 40.2-62.7) in 2010 (P = 0.549). Patients stayed in hospital for more than one night after 10.5% (95% CI, 6.9-14.1) of operations. Use of phacoemulsification and topical anaesthesia increased the prevalence of outpatient surgery and decreased intraoperative complications. Although outpatient cataract surgery increased by 11.7%, use of methods such as phacoemulsification is not widespread, and more attention should be paid to the barriers to outpatient cataract surgery in the Islamic Republic of Iran. © 2016, World Health Organization. All rights reserved.