Modern surgery for global cataract blindness: preliminary considerations

Archives of Ophthalmology
M GilliesS Ruit

Abstract

Unoperated cataract in the developing world remains ophthalmology's major unsolved problem. Recent developments have brought into question the assumptions of those who have thought that extracapsular surgery with implantation of a posterior chamber intraocular lens is an unrealistic approach to the treatment of global cataract blindness. High-quality 1-piece posterior chamber intraocular lenses are being manufactured locally for approximately $10 each. Most ophthalmologists can be trained to perform extracapsular surgery in a 1-month course. This process is particularly effective if outstanding local surgeons receive intensive training to become instructors. While the incidence and treatment of posterior capsule opacification requires further study, the development of a low-cost YAG laser may be a solution. Imaginative ways to recover costs will need to be developed if the staggering prevalence of cataract blindness is to be effectively addressed. The improved result of modern surgery may make patients more willing to pay for their operation.

Citations

Jun 27, 2002·The British Journal of Ophthalmology·I Kocur, S Resnikoff
Jul 15, 2006·BMJ : British Medical Journal·David Allen, Abhay Vasavada
Nov 12, 2003·Survey of Ophthalmology·Tariq M AslamBaljean Dhillon
Jul 5, 2005·Ophthalmology·Rahat HusainSeang M Saw
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Jul 22, 2005·Clinical & Experimental Ophthalmology·Anna TanHenry Newland
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Aug 31, 2010·Revista de saúde pública·Newton Kara-JuniorRegina de Souza Carvalho

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