The difficulty of access to senile cataract treatment in Aparecida de Goiânia – Goiás. Brazil

Abstract

Objective:

To identify the difficulties of patients with senile cataract in the access to the facectomy by Unified Health System ( SUS – Sistema Único de Saúde) in the Medical and Diagnostic Center (CEMED) of Aparecida de Goiânia.

Methods:

Cross-sectional and observational research with data collection from a standardized questionnaire applied preoperatively.

Results:

The sample consisted of 150 patients: 56% women and 44% men. The average age was 66.05 ± 9.21 years. Most (57.3%) had a previous diagnosis of cataract and, of these, 56.7% did not seek previous treatment. The reasons that prevented previous treatment were: difficulty in accessing the health service (43.5%), fear of surgery (18.8%) and lack of clinical condition for surgery (18.8%). 78.7% of patients would like to have surgery on the same day they are diagnosed with cataract. 21.3% were against this proposal, and the fear of surgery (65%) was the main reason for not performing the facectomy immediately. Regarding the impairment in activities of daily living (ADL), 20.6% could not read magazines and newspapers, in contrast, 20.6% reported no significant impairment in their ADL.

Conclusion:

The main difficulties in accessing senile cataract treatment were: difficulty in accessing the specialized health system, fear of the procedure, lack of clinical condition for surgery. Thus, it is necessary to promote good quality and affordable surgery; carrying out projects that facilitate diagnosis and treatment, that act in population education, promoting population awareness and stimulating the search for treatment.

Keywords:
Cataract; Cataract extraction; Health Services Accessibility; Eye vision; Ophthalmologic surgical procedures; Community health services; Unified Health System