{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T12:54:01Z","timestamp":1776862441629,"version":"3.51.2"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,6,25]],"date-time":"2013-06-25T00:00:00Z","timestamp":1372118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\u2002<\/jats:title><jats:p>To assess the outcomes of cataract surgery performed by novice surgeons during training in a rural programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design\u2002<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants\u2002<\/jats:title><jats:p>Three hundred thirty\u2010four patients operated by two trainees under supervision at rural Chinese county hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods\u2002<\/jats:title><jats:p>Two trainees performed surgeries under supervision. Visual acuity, refraction and examinations were carried out 3 months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures\u2002<\/jats:title><jats:p>Postoperative uncorrected visual acuity, pinhole visual acuity, causes of visual impairment (postoperative uncorrected visual acuity\u2009&lt;\u20096\/18)<\/jats:p><\/jats:sec><jats:sec><jats:title>Results\u2002<\/jats:title><jats:p>Among 518 operated patients, 426 (82.2%) could be contacted and 334 (64.4% of operated patients) completed the examinations. The mean age was 74.1\u2009\u00b1\u20098.8 years and 62.9% were women. Postoperative uncorrected visual acuity was available in 372 eyes. Among them, uncorrected visual acuity was \u22656\/18 in 278 eyes (74.7%) and &lt;6\/60 in 60 eyes (16.1%), and 323 eyes (86.8%) had pinhole visual acuity\u2009\u2265\u20096\/18 and 38 eyes (10.2%) had pinhole visual acuity\u2009&lt;\u20096\/60. Main causes of visual impairment were uncorrected refractive error (63.9%) and comorbid eye disease (24.5%). Comorbid eye diseases associated with pinhole visual acuity\u2009&lt;\u20096\/60 (<jats:italic>n<\/jats:italic>\u2009=\u200923, 6.2%) included glaucoma, other optic nerve atrophy, vitreous haemorrhage and retinal detachment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions\u2002<\/jats:title><jats:p>The findings suggest that hands\u2010on training remains safe and effective even when not implemented in centralized training centres. Further refinement of the training protocol, providing postoperative refractive services and more accurate preoperative intraocular lens calculations, can help optimize outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.12021","type":"journal-article","created":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T11:46:16Z","timestamp":1350647176000},"page":"463-470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Visual outcomes of cataract surgery performed by supervised novice surgeons during training in rural <scp>C<\/scp>hina"],"prefix":"10.1111","volume":"41","author":[{"given":"Wenyong","family":"Huang","sequence":"first","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronghua","family":"Ye","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Liu","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qianyun","family":"Chen","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guofu","family":"Huang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yizhi","family":"Liu","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S","family":"Friedman","sequence":"additional","affiliation":[{"name":"Wilmer Eye Institute and Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland"},{"name":"Helen Keller International  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan G","family":"Congdon","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"},{"name":"ORBIS International  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Ling","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingguang","family":"He","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center Sun Yat\u2010Sen University  Guangzhou China"},{"name":"Helen Keller International  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,25]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"1","article-title":"A global initiative for the elimination of avoidable blindness","volume":"11","author":"Thylefors B","year":"1998","journal-title":"Community Eye Health"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(98)80053-9"},{"key":"e_1_2_5_4_1","unstructured":"National Bureau of Statistics of China. [The fifth national census bulletin.] (in Chinese).2000. Accessed 4 Aug 2011. Available from:http:\/\/www.stats.gov.cn\/tjgb\/rkpcgb\/qgrkpcgb\/t20020331_15434.htm."},{"key":"e_1_2_5_5_1","unstructured":"Ministry of Health. [Number and percentage of doctors by departments.] (in Chinese).2009. Accessed 10 Jul 2011. Available from:http:\/\/www.moh.gov.cn\/htmlfiles\/zwgkzt\/ptjty\/digest2009\/T8\/sheet022.htm."},{"key":"e_1_2_5_6_1","first-page":"341","article-title":"Prevalence of blindness among adults aged 50 years or above in Shunyi county of Beijing","volume":"35","author":"Zhao J","year":"1999","journal-title":"Zhonghua Yan Ke Za Zhi"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(99)90459-1"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.08-2783"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.125.11.eeb70013"},{"key":"e_1_2_5_10_1","first-page":"6","article-title":"Management of capsular rupture and vitreous loss in cataract surgery","volume":"21","author":"Astbury N","year":"2008","journal-title":"Community Eye Health"},{"key":"e_1_2_5_11_1","unstructured":"Statistic Bureau of Qujiang District Shaoguan. [Statistics of economic and social development in Qujiang District of Shaoguan City.] (in Chinese).2009. Accessed 4 Aug 2011. Available from:http:\/\/www.qujiang.gov.cn\/website\/portal\/qjzw\/tjsj\/2011\/110193_0.html."},{"key":"e_1_2_5_12_1","unstructured":"Bureau of Yunan country. [Introduction of economic and social development of Yunan County.] (in Chinese).2009. Accessed 4 Aug 2011. Available from:http:\/\/www.gdyunan.gov.cn\/Item\/8952.aspx."},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.10.028"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2006.07.023"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(99)80230-X"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e3282f154bd"},{"key":"e_1_2_5_17_1","volume-title":"Informal Consultation on Analysis of Blindness Prevention Outcomes","author":"World Health Organization","year":"1998"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.87.7.813"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00578-9"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2010.03.005"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2009.01.030"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.10-5382"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2007.05.052"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.1.12"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.148650"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2010.02440.x"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2007.00879.x"}],"container-title":["Clinical &amp; Experimental Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fceo.12021","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ceo.12021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T10:45:10Z","timestamp":1696329910000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ceo.12021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,25]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1111\/ceo.12021"],"URL":"https:\/\/doi.org\/10.1111\/ceo.12021","archive":["Portico"],"relation":{},"ISSN":["1442-6404","1442-9071"],"issn-type":[{"value":"1442-6404","type":"print"},{"value":"1442-9071","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,25]]},"assertion":[{"value":"2012-06-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-09-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-06-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}