Dept. of Community Medicine

1
Profile of cataract patients of C.H. Nagari
Hospital, Ahmedabad(January 2006 to July 2006)
By JIGNESH KHOLIA 40 NEHA LALA
41 KAPIL RAJ LATIYA
42 MITALI LEUVA 43







(Batch 2003)
Dept. of Community Medicine Smt.
NHL Municipal Medical College Ahmedabad
2
RATIONALE

• Cataract - most common cause of
  blindness.
• In India - cataract accounts
  for over 80 of
• the cases of blindness.
• Surgical treatment - a great
• economic burden on the
• state - backlog
• too big to be
• handled by surgery alone.
• Alternatively preventive
  ophthalmology

Hazy vision
Rosette shape cataract
3

• Prevention of visual
  impairment
• - a component of Vision
  2020.
• The present hospital-based
  study was
• performed to identify the
  causes of
• cataract in patients with an
  emphasis
• on factors that may be
  preventable, if
• proper education and
• training are given.

Rosette shape cataract
4
AIM

• To study the profile of Cataract patients of
  C.H. Nagari Hospital during January 2006 to July
  2006.
• OBJECTIVES
• To find the different
• causes of cataract.
• To find the different
• types of cataract.
• To compare different types and causes of
  cataract.

5
METHODOLOGY

• Design of the study
• Record based study.
• Subjects
• Randomly selected 1000 cases of
• cataract patients admitted during
• January 2006 to July 2006.
• Inclusion criteria
• All the cataract patients.
• Ethical consideration
• Permission of the superintendent of C.H. Nagari
  hospital.

6
Method It was a record based study, in which all
the patients admitted to the hospital during
January 2006 to July 2006 were scrutinized and
1000 cases of cataract were randomly selected.
The records of these cases were studied and
analysed for different types and causes of
cataract. Resources People - 4 available
Computer - 1 available Stationary - 100 Rs.
7
TIME LINE CHART
Time in weeks
8
ANALYSIS
Table no 1. Gender wise distribution of patients
9
Graph no 1. Age group vise distribution of
cataract cases
Cataract is more common in age group 51-70
10
Table no 2 Age group Vs. Type of cataract
IMC-IMMATURE CATARACT MC-MATURE CATARACT
BC-BROWN CATARACT BE- BOTH
EYE U- UNILATERAL
HMC-HYPERMATURE CATARACT
Cases of immature cataract is more common than
other types Maximum cases of IMC are in 61-70 age
group
11
Table no 3 Age group VS Cause of cataract
? cause not known Senile cataract is most
common, followed by diabetes
12
Table no 4 Male/Female vs. Type of cataract
Type of cataract
Difference of type of cataract in male and female
is not significant
13
Table no 5 Male/Female vs. Cause of cataract
?cause not known Difference of causes of
cataract in male and female is not significant
14
Table no 6 Male/Female Vs Diabetic Status
Females have more cases than males z 4.16 so,
difference is significant.
15
SUMMARY

• Out of 1000 samples of cataract taken from
• Nagari Hospital, 678 cases are senile, 195
  cases
• are diabetic or diabetic with senile, 14
  cases are congenital, 6 cases are corticosteroid
  induced,
• 33 cases are traumatic.
• Cataract is more common
• in age group 51-70.
• Diabetes and CI are significant risk factors for
  cataract.

Rosette shape cataract
16
SUGGESTIONS

• For the wide descriptive study more samples and
• extended coverage is required
• Extended study is required in case of congenital
  cataract, where the risk factors are not fully
  identified or proved,
• and as congenital cataract
• is significant cause
• of cataract
• in community.
• There should be
• an intensive research
• for the development
• of drugs which

Rosette shape cataract
17

• can substitute corticosteroids, which is also
  a
• significant risk factor for cataract.
• More studies are required to know the etiology
  of
• congenital cataracts and pediatric cataract.

Rosette shape cataract
18
PREVENTIVE MEASURES

• Most cataracts occur with age and can't be
• avoided altogether.
• Regular eye exams early detection - in senile
  cataracts.
• Protect yourself
• from the sun
• wear sunglasses
• Wearing proper eye protection and follow safety
• rules - 90 of injuries could be prevented

19

• Take care of other health problems - follow your
  treatment plan
• Therapy that keeps blood sugar levels as close to
  normal as
• possible reduces
• damage to the eyes by 76.
• Use alternative drugs
• Don't smoke