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Gendered Disparities in Quality of Cataract Surgery in a Marginalised Population in Pakistan: The Karachi Marine Fishing Communities Eye and General Health Survey

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  • Khabir Ahmad
  • Anthony B Zwi
  • Daniel J M Tarantola
  • Abdul Qadeem Soomro
  • Rashid Baig
  • Syed Iqbal Azam

Abstract

Background: Marine fishing communities are among the most marginalised and hard-to-reach groups and have been largely neglected in health research. We examined the quality of cataract surgery and its determinants, with an emphasis on gender, in marine fishing communities in Karachi, Pakistan, using multiple indicators of performance. Methods and Findings: The Karachi Marine Fishing Communities Eye and General Health Survey was a door-to-door, cross-sectional study conducted between March 2009 and April 2010 in fishing communities living on 7 islands and in coastal areas in Keamari, Karachi, located on the Arabian Sea. A population-based sample of 638 adults, aged ≥ 50 years, was studied. A total of 145 eyes (of 97 persons) had undergone cataract surgery in this sample. Cataract surgical outcomes assessed included vision (presenting and best-corrected with a reduced logMAR chart), satisfaction with surgery, astigmatism, and pupil shape. Overall, 65.5% of the operated eyes had some form of visual loss (presenting visual acuity [PVA]

Suggested Citation

  • Khabir Ahmad & Anthony B Zwi & Daniel J M Tarantola & Abdul Qadeem Soomro & Rashid Baig & Syed Iqbal Azam, 2015. "Gendered Disparities in Quality of Cataract Surgery in a Marginalised Population in Pakistan: The Karachi Marine Fishing Communities Eye and General Health Survey," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-12, July.
    • Handle: RePEc:plo:pone00:0131774
    DOI: 10.1371/journal.pone.0131774
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    Cited by:

    1. Eunice Wandia Mailu & Bhavisha Virendrakumar & Stevens Bechange & Emma Jolley & Elena Schmidt, 2020. "Factors associated with the uptake of cataract surgery and interventions to improve uptake in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-18, July.

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