{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T18:01:56Z","timestamp":1768413716216,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,5,15]],"date-time":"2017-05-15T00:00:00Z","timestamp":1494806400000},"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":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aims to describe patient demographics, visual and surgical outcomes of a cohort undergoing small incision cataract surgery at a Pacific regional ophthalmic training facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This is a prospective, longitudinal study conducted at the Pacific Eye Institute, Fiji.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>One hundred fifty\u2010six patients underwent small incision cataract surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Preoperatively, a complete ophthalmic examination, including pachymetry and macular optical coherence tomography performed by two independent investigators. Temporal small incision cataract surgery with intraocular lens insertion was performed by ophthalmologists, and trainee ophthalmologists. Follow\u2010up occurred at day one, four weeks and 3\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Patient characteristics, visual outcomes including surgically induced astigmatism and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010one per cent (142\/156) attended 3\u2010month follow\u2010up with median age 63\u00a0years (range 19\u201382), 52% female (81\/156) and 58% (90\/156) Fijian ethnicity. In 37% (57\/156), the contralateral eye was pseudophakic. Mean preoperative best spectacle\u2010corrected visual acuity was logMAR 1.44 (6\/165). At 3\u00a0months, 74% (105\/142) achieved \u22656\/18 unaided vision (94% [133\/142] best spectacle\u2010corrected visual acuity). Mean postoperative spherical equivalent was \u22120.78 (SD 0.95) D and mean surgically induced astigmatism 1.04 (0.57) D. Complications included posterior capsular rupture with vitreous loss (4% [6\/156]), optical coherence tomography confirmed macular oedema (8% [12\/152] at 4\u00a0weeks), significant posterior capsular opacity (23% [31\/136]) and &gt;5% increase in preoperative pachymetry (1% [1\/142]) at 3\u00a0months. Reduction in preoperative best spectacle\u2010corrected visual acuity occurred in 2% (3\/142). No cases of endophthalmitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion and relevance<\/jats:title><jats:p>Small incision cataract surgery provided to a regional population is effective with 94% achieving the World Health Organisation's definition of \u2018Good Vision\u2019 (\u22656\/18). Refinements in biometric and surgical techniques may allow a greater proportion of patients to achieve good unaided vision.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.12965","type":"journal-article","created":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T07:36:57Z","timestamp":1492587417000},"page":"812-819","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Short\u2010term outcomes of small incision cataract surgery provided by a regional population in the Pacific"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0463-2123","authenticated-orcid":false,"given":"Riyaz","family":"Bhikoo","sequence":"first","affiliation":[{"name":"The Fred Hollows Foundation New Zealand Auckland New Zealand"},{"name":"Department of Ophthalmology, New Zealand National Eye Centre University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"Vellara","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, New Zealand National Eye Centre University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salome","family":"Lolokabaira","sequence":"additional","affiliation":[{"name":"Pacific Eye Institute Suva Fiji"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3139-3949","authenticated-orcid":false,"given":"Neil","family":"Murray","sequence":"additional","affiliation":[{"name":"The Fred Hollows Foundation New Zealand Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biu","family":"Sikivou","sequence":"additional","affiliation":[{"name":"The Fred Hollows Foundation New Zealand Auckland New Zealand"},{"name":"Pacific Eye Institute Suva Fiji"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"McGhee","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, New Zealand National Eye Centre University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,15]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"25","article-title":"Eye health outreach services in the Pacific Islands region: an updated profile","volume":"128","author":"Lees J","year":"2015","journal-title":"N Z Med J"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.6.605"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2011.02749.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2006.08.057"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2004.063479"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008811.pub3"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008813.pub2"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2006.07.023"},{"key":"e_1_2_6_10_1","unstructured":"Public Health and Cataract Blindness.International Council of Ophthalmology.http:\/\/www.icoph.org\/dynamic\/attachments\/resources\/public\u2010health\u2010and\u2010cataract.pdf. 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