IN THE NAME OF ALLAH,

THE MOST BENIFICENT THE MOST MERCIFUL

ASSESSMENT OF PATIENT SATISFACTION LEVEL AFTER

CATARACT SURGERY IN PATIENTS HAVING AGE 40
YEARS

Submitted To:
Dr. Zahid Jadoon
Director and Research
Supervisor

Submitted By:
Tahseen Ullah
Optometrist
PCVS PICO

Pakistan Institute of Community Ophthalmology

Hayatabad Medical Complex Peshawar.
Session: 2011-2014
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Certificate of
Completion
This is to certify that Mr. Tahseen Ullah has completed his
report on Assessment of patient satisfaction level
after cataract surgery in patients having age 40
years as a part of partial fulfillment of BSc Vision
Sciences (Optometry course from Pakistan Institute of
Community Ophthalmology,
Hayatabad Medical Complex Peshawar.

Signature of Respected Supervisor

___________
Date:______________

This work has been done by me under supervision of my supervisor, Mr.

Azmat Jahan, Optometrist at Eye department Hayatabad Medical Complex,
Peshawar.

TahseenUllah
Date: 30th December 2014

This work is dedicated to my Parents, who

have raised me to be the person I am today
and for their endless love, support and
encouragement.
To my brother Mr. Aftab Ahmed (SE Alcon
International), who stands by me when things
look bleak, for his love and support throughout
my studies. Thank you for the laughing and the

ACKNOWLEDGMENT
With the name of ALLAH, the All Merciful, the very Merciful
Praise belongs to ALLAH, The Lord of all the worlds. There are
no words to thank ALLAH for His unlimited Blessings that
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have been bestowed upon us. He is our creator from Alone

we seek help.
I acknowledge to Professor Muhammad Daud Khan for being
the founder of our valuable institute, Pakistan Institute of
Community Ophthalmology.
I express my gratitude to my supervisor Dr.Zahid
Jadoon,through his kind support and supervision during my
research wok.
I also acknowledge to my co-supervisor Mr. Azmat Jahan who
guide me to conduct such a valuable research.
I am also thankful to Madam Samina Anwar Director Pico, and
faculty members of this institute Sir Sami u din, Sir SirajSafi,
Sir Daud Jan, Mr. Faheem Marwat, Mr. Azmat Jehan, Mr.Fayaz,
Mr. Imran and Mr. Zia for their kind devotion and moral
support throughout my studies.
At last but not the least, I would like to express my gratitude
to all my sweet and affectionate friends,that my career
shined through their support and prayers.
I also thank my classmates Waqas, Shabana Shamsher
(Shabo),Sadaf Qayyum and Sami, who helped me to
complete my research.

Table of Contents
1

Abstract ......................................................................................................... 08

Introduction/background ................................................................................10

Aims and objectives........................................................................................ 20

Rationale ........................................................................................................ 17

Literature review ............................................................................................ 22

Methodology .................................................................................................. 25

Results ........................................................................................................... 32

Discussion ...................................................................................................... 39

Conclusion....................................................................................................... 42

10

Recommendation ........................................................................................ 44

11

References................................................................................................... 46

12

Performa ..................................................................................................... 51

PURPOSE: The aim of the study to evaluate the visual outcomes after cataract surgery in
patients having age 40 years, and to assess satisfaction level with final surgical outcome.
Study Design: It was a hospital based descriptive study.
Study Settings: Eye OPD, Hayatabad Medical Complex Peshawar.
Study Duration: 4 months, from sep2014 to Dec2014 (Data Collection period 2 weeks,
13th Oct2014 to 25th Oct2014).
Sample Size: All the patients having age 40 years, who are operated for cataract and
visiting eye OPD for follow up during data collection period.
Inclusion Criteria: All patients aged 40 years who are operated for cataract and visiting
eye OPD HMC after 1st follow up.
Exclusion Criteria: Mentally retarded patients, Cataract surgery is done for other purposes
than visual, Patients who are not willing to participate and Patients who have no
preoperative ocular examination record were excluded from study.
Materials and Methods: Approval from hospital ethical committee was obtained. An
informal verbal consent was also taken from the patient/Guardian before the examination.
Pre-Operative Visual acuity noted from preoperative ocular examination record and postOperative VA with Snellens VA Chart at 6 meters. Data on visual outcome was grouped
using WHO's classification A specially designed questionnaire was used to assess the
patient satisfaction level with outcomes. A Satisfaction level was categorized into good,
satisfactory, and poor on basis of score categorized in questionnaire.
Results: Total 56 patients studied in this study. Mean age was 61 years. Gender distribution
was analyzed as n=38(67.9%) of 56 patients were males and n=18(32%) were females.
There were 36 (64.4%) cataract operated people having good visual outcome (PVA 6/6
6/18) , 12 (36.4%) had (PVA <6/18-6/60) and 8 (14.3%) had PVA <6/60. Satisfaction level
was high among operated in the sample 27 (48.2%), normal level studied 18 (32%), while
11 19.6% were poor satisfied.
Conclusion: This study clearly shows the beneficial and favorable outcomes. The
patients who are operated for cataract were fully satisfied from their surgery because they
having better visual acuity after cataract surgery and were able to perform their daily life
activities.

Keywords: Cataract surgery, Visual Outcomes, Satisfaction Level.

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