Objective: To examine the issues influencing the outcome of cataract surgeries performed by visiting surgeons in a remote region of British Columbia.
Design: Retrospective series.
Participants: We studied 198 patients who underwent cataract surgery in 2008 in a northern community (approximate area, 12 million hectares, population, 64,000).
Methods: We retrospectively reviewed the 236 eyes of the participants. Outcomes include pre- and postoperative best-corrected visual acuity (BCVA), complication rate, pre-existing ocular comorbidities, and follow-up rate.
Results: Preoperative BCVA was 20/53. The postoperative BCVA was 20/27. The complication rate, defined as postoperative BCVA less than 20/40 not explained by ocular comorbidities or needing further postoperative treatment outside of the region, was 4%.
Conclusions: Issues contributing to the higher complication rate may include lower follow-up rate due to lack of accessible ophthalmologic care, late presentation, and a long surgical waiting list.
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