Patient narratives on the lived experiences of physical, psychosocial and economic changes after cataract surgery: a longitudinal qualitative study in rural Mozambique
Summary
This article presents findings from a longitudinal, qualitative study on how cataract surgery affects daily life in rural Mozambique. Thirty men and women were interviewed at district hospitals following cataract surgery screenings, and follow-up interviews were done at six and 12 months in participants’ homes following cataract surgery.
Data was analysed to reflect changes within individuals and across participants. Before surgery, participants reported severe limitations in daily tasks, work and social activities. Many experienced isolation, stigma and diminished self-esteem. After surgery, most participants described restored vision as a return to normalcy, enabling them to do things on their own and contribute to the household, farming and engagement in community and religious life. For some, surgery helped to enhance confidence, dignity and agency. Sustaining these improvements was more challenging for older participants and those with other health conditions or persistent visual impairment.
The study underscores cataract-related disability as both a medical and social issue and the importance of policies prioritising dignity, autonomy and well-being in resource-limited rural contexts.