Sanjoy Chowdhury
Bokaro General Hospital, India
Title: Evolution of affordable quality cataract surgery in leprosy: evolution over two decades
Biography
Biography: Sanjoy Chowdhury
Abstract
Aim: Our aim is to find out most suitable approach for cataract surgery in leprosy affected people.
Design: Prospective case control study. Cases include cataract surgery in leprosy; non- leprosy people undergoing surgery at Camps are controls (1996-2014).
Methods: Surgical methods include ICCE, ECCE with /or without IOL, Phaco /SICS with IOL
Results: Results were divided into three groups
Group 1: Non IOL cases (1996 to 2000). Vision improved to 6/12 in 120/160 cases in short term.
Group 2: 2005-2009: IOL Cases (phaco & SICS). 210/ 250 cases 210 had more than 6/12. Worse in “cases”with Phaco.
Group 3: 2010 to 2014: SICS with IOL was done in 242 cases. Vision in 235 “cases” >6/12. Results were similar in both PALs and non-leprosy controls.
Conclusion: Long term follow-up reveals SICS with IOL is the best in leprosy. But quality treatment should include all-round care involving different stake holders as this is a mixed problem: “ophthalmo-socio-economic”. More than a lakh new cases/year is huge burden which can be tackled with locally available resources.